| 腹腔镜胆囊切除术中转开腹危险因素Logistic分析 |
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| 引用本文： | 沈汉斌,刘光宗,卢小明,郑启昌,陶凯雄. 腹腔镜胆囊切除术中转开腹危险因素Logistic分析[J]. 腹部外科, 2004, 17(2): 93-94 |
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| 作者姓名： | 沈汉斌 刘光宗 卢小明 郑启昌 陶凯雄 |
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| 作者单位： | 430022,武汉,华中科技大学同济医学院附属协和医院腹腔镜中心;430022,武汉,华中科技大学同济医学院附属协和医院腹腔镜中心;430022,武汉,华中科技大学同济医学院附属协和医院腹腔镜中心;430022,武汉,华中科技大学同济医学院附属协和医院腹腔镜中心;430022,武汉,华中科技大学同济医学院附属协和医院腹腔镜中心 |
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| 摘 要： | 目的 探讨腹腔镜胆囊切除术中转开腹的危险因素。方法 从 1 337例行LC病人术前的临床症状、体征、辅助检查等指标中分析中转开腹的危险因素。结果 中转开腹 1 3例。 4种因素 ,即胆囊壁厚度、急性胆囊炎的发作次数、一周内出现上腹痛、右上腹体征为中转开腹的危险因素。结论 从 4种危险因素可以预测中转的概率 ,在术前做好高中转风险的心理准备 ,术中能果断做出中转的决定 ,避免手术副损伤
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| 关 键 词： | 胆囊切除术 腹腔镜 剖腹术 危险因素 |
| 修稿时间： | 2003-10-23 |
Risk factors for conversion from laparoscopic to open cholecystectomy by logistic regression |
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| SHEN Han bin,LIU Guang zong,LU Xiao ming,et al.. Risk factors for conversion from laparoscopic to open cholecystectomy by logistic regression[J]. Journal of Abdominal Surgery, 2004, 17(2): 93-94 |
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| Authors: | SHEN Han bin LIU Guang zong LU Xiao ming et al. |
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| Affiliation: | SHEN Han bin,LIU Guang zong,LU Xiao ming,et al.Department of Endoscopic Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,430022,China |
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| Abstract: | Objective To study the risk factors for prediction of conversion from laparoscopic to open cholecystectomy.Methods Preoperative clinical data of 1337 patients who underwent laparoscopic cholecystectomy were analyzed for the risk factors for conversion rates.Results Thirteen patients were converted to open cholecystectomy( 0.97% ).Multivariate analysis revealed that the risk factors were as follows:Sonogramphically thickened gallbladder wall,number of cholecystitis attacks,upper abdominal pain before one week and abdominal tenderness.Conclusion The conversion rate can be predicted easily by these four risk factors.Patients having high risk may be informed and scheduled appropriately. |
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| Keywords: | Cholecystectomy laparoscopic Laparotomy Risk factors |
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