中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

肝内胆管结石患者肝切除术后感染性并发症发生的影响因素分析

王新玮 赵宗刚

引用本文:
Citation:

肝内胆管结石患者肝切除术后感染性并发症发生的影响因素分析

DOI: 10.3969/j.issn.1001-5256.2017.09.025
详细信息
  • 中图分类号: R657.42

Risk factors for infectious complications after hepatectomy in patients with intrahepatic bile duct stones

  • 摘要: 目的探讨肝切除治疗肝内胆管结石术后感染性并发症发生的相关危险因素。方法回顾性分析济南市第五人民医院2010年1月-2016年12月168例行肝切除术的肝内胆管结石患者的临床资料。对可能影响术后感染性并发症发生的危险因素先进行单因素分析,计数资料组间比较采用χ2检验;将有统计学意义的因素进一步采用logistic多因素回归分析。结果 31例(18.5%)患者术后出现感染性并发症,无再手术病例,均治愈。单因素分析显示,年龄、术前Alb水平、合并胆汁性肝硬化、手术距急性胆管炎控制的时间间隔(ISAC)、肝切除术范围和胆肠吻合术是术后感染性并发症发生的影响因素(χ2值分别为5.407、4.263、11.633、6.023、5.000、5.815,P值均<0.05);进一步多因素分析结果显示,合并胆汁性肝硬化[比值比(OR)=3.028,95%可信区间(95%CI):1.7915.121,P=0.002]、ISAC<4周(OR=1.539,95%CI:1.0102.345,P=0.046)、胆肠吻...

     

  • [1]MA WJ, ZHOU Y, YANG Q, et al.The puzzle and challenge in treating hepatolithiasis[J].Surg Laparosc Endosc Percutan Tech, 2015, 25 (1) :94-95.
    [2]QIAO O, HU P, JIN Y.Hepatic lobectomy and segmental resection of liver for hepatolithiasis[J].West Indian Med J, 2014, 63 (2) :176-178.
    [3]ZHANG HY, LIU B.Research advances in surgical treatment of intrahepatic bile duct stones[J].J Clin Hepatol, 2015, 31 (10) :1726-1729. (in Chinese) 张昊宇, 刘斌.肝内胆管结石外科治疗的研究进展[J].临床肝胆病杂志, 2015, 31 (10) :1726-1729.
    [4]HE XD, LIU QF.Diagnosis and treatment of hepatolithiasis[J].Chin J Dig Surg, 2015, 14 (4) :275-279. (in Chinese) 何小东, 刘乔飞.肝胆管结石病的诊断与治疗[J].中华消化外科杂志, 2015, 14 (4) :275-279.
    [5]ZHNAG FH, PENG HP, WANG BZ, et al.Infectious complications after hepatectomy for hepatic cancer:analysis of risk factors[J].Chin J Gen Surg, 2015, 24 (1) :133-135. (in Chinese) 张风华, 彭和平, 王宝枝, 等.肝癌肝切除术后感染性并发症的危险因素分析[J].中国普通外科杂志, 2015, 24 (1) :133-135.
    [6]FU SJ, LI SQ, LIANG LJ, et al.Risk factors of postoperative morbidity after hepatectomy for intrahepatic stones[J].Chin J Hepatobiliary Surg, 2010, 16 (5) :325-327. (in Chinese) 付顺军, 李绍强, 梁力建, 等.肝切除术治疗肝内胆管结石术后发生并发症的危险因素分析[J].中华肝胆外科杂志, 2010, 16 (5) :325-327.
    [7]YANG T, LAU WY, LAI EC, et al.Hepatectomy for bilateral primary hepatolithiasis:a cohort study[J].Ann Surg, 2010, 251 (1) :84-90.
    [8]WU JS, PENG C.Selection of treatment regimens for hepatolithiasis complicated by biliary cirrhosis[J].J Hepatobiliary Surg, 2012, 20 (3) :161-162. (in Chinese) 吴金术, 彭创.肝胆管结石并胆汁性肝硬化 (HLC) 治疗方案的选择[J].肝胆外科杂志, 2012, 20 (3) :161-162.
    [9]KIM YK, HAN HS, YOON YS, et al.Laparoscopic approach for right-sided intrahepatic duct stones:a comparative study of laparoscopic versus open treatment[J].World J Surg, 2015, 39 (5) :1224-1230.
    [10]NAMGOONG JM, KIM KH, PARK GC, et al.Comparison of laparoscopic versus open left hemihepatectomy for left-sided hepatolithiasis[J].Int J Med Sci, 2014, 11 (2) :127-133.
    [11]REN XL, SHA HC, HONG XM, et al.Laparoscopic left hemihepatectomy for hepatolithiasis in the left lobe[J].Chin J Gen Surg, 2016, 31 (7) :579-581. (in Chinese) 任旋磊, 沙洪存, 洪晓明, 等.腹腔镜左半肝切除治疗左肝内胆管结石[J].中华普通外科杂志, 2016, 31 (7) :579-581.
    [12]FU N, MA MK, LUO DY, et al.Clinical analysis of precise hepatectomy and irregular hepatectomy in the treatment of intrahepatic bile duct stone[J].J Chengdu Med Coll, 2016, 11 (5) :565-568. (in Chinese) 付宁, 马明坤, 罗道蕴, 等.精准肝切除术与非规则性肝切除术治疗肝内胆管结石的临床分析[J].成都医学院学报, 2016, 11 (5) :565-568.
    [13]PARK JS, JEONG S, LEE DH, et al.Risk factors for long-term outcomes after initial treatment in hepatolithiasis[J].J Korean Med Sci, 2013, 28 (11) :1627-1631.
    [14]LI SQ, LIANG LJ, PENG BG, et al.The timing of hepatectomy for hepatolithiasis complicated with acute cholangitis[J].Chin J Surg, 2006, 44 (23) :1607-1609. (in Chinese) 李绍强, 梁力建, 彭宝岗, 等.肝内胆管结石合并急性胆管炎的肝切除时机[J].中华外科杂志, 2006, 44 (23) :1607-1609.
  • 加载中
计量
  • 文章访问数:  2328
  • HTML全文浏览量:  50
  • PDF下载量:  430
  • 被引次数: 0
出版历程
  • 收稿日期:  2017-02-27
  • 出版日期:  2017-09-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回