摘要
目的探讨微创保胆取石术后胆囊收缩功能的影响因素。方法回顾性分析2007年9月—2012年9月河北北方学院附属第二医院行保胆取石术的胆囊结石患者100例,依据术前2天、术后2年超声下胆囊收缩功能分级变化情况分为2组,稳定不变为胆囊功能代偿良好组（64例）,评级下降为胆囊功能代偿不良组（36例）。比较2组B型超声检查结果和复发率,用Logistic回归分析影响术后胆囊收缩功能的独立危险因素。结果代偿良好组术后TC、TG、胆囊最大收缩率、胆囊壁厚度与代偿不良组差异有统计学意义（P〈0.05）,术后结石复发率比较差异亦有统计学意义（1.56%v8.11.11%,χ^2=4.244,P〈0.05）。Logistic回归分析显示术前胆囊壁厚度、胆囊最大收缩率和血胆固醇为影响术后胆囊收缩功能的独立危险因素（OR=1.266、0.974、1.059,P〈0.05）。结论术前胆囊壁厚度、胆囊最大收缩率和血胆固醇是影响术后胆囊收缩功能的危险因素,可导致术后结石复发率明显增加。
Objective To investigate the risk factors of gallbladder contractile function after minimally invasive gallbladder preserving surgery.Methods Retrospective analysis of 100 cases of patients with gallbladder stones from September2007 to September 2012 at Hebei North University Affiliated Second Hospital,according to preoperative 2 day and after operalion 2 year ultrasound results of gallbladder contraction function change classification,these patients were divided into 2groups,stable good gallbladder function as compensation group（64 cases）,rating decreased of the gallbladder function as decompensation group（36 cases）.The 2 groups were compared with the results of B ultrasound examination and the recurrence rale,and Logistic regression analysis was used to analyze the independent risk factors of gallbladder contractile function after operation.Results After treatment,there were significant difference in TC,TG,gallbladder contractile function and gallbladder wall thickness between compensation group and decompensation group（P〈0.05）,stone recurrence rate between two groups were significant too（1.56%vs.11.11,χ^2 =4.244,P〈0.05）.Logistic regression analysis showed that preoperative gallbladder contraction rate,blood cholesterol and gallbladder wall thickness were independent risk factors lor gallbladder contraction function after surgen（OR =0.955,OK =0.943,OK = 1.018,P〈0.05）.Conclusion The maximum rale of gallbladder contraction.blood cholesterol and gallbladder wall thickness were the risk factors of gallbladder contraction function after operation,which could lead to a significant increase in postoperative recurrence rate.
出处
《疑难病杂志》
CAS
2016年第2期179-182,共4页
Chinese Journal of Difficult and Complicated Cases
关键词
微创保胆取石术
危险因素
结石复发
Minimally invasive operation with gallbladder preserved
Risk factors
Recurrence of stones
