摘要
目的探讨腹腔镜胆囊切除（LC）术中出血的预防措施及处理方法，以进一步提高该操作的成功率。方法分析2003年5月至2009年9月期间收治的420例LC手术患者的资料，记录术中发生出血病例的总数、出血部位、预防和处理方法。结果417例LC成功，成功率99．3％，全部治愈，无手术死亡。手术中发生明显出血49例（11．7％），腹腔镜下止血或局部压迫止血成功46例，转开腹处理3例，镜下或对症止血成功率93．9％。其中胆囊三角动脉活动性出血15例（占30．6％），胆囊床出血或渗血26例（占53．1％），腹壁穿刺孔出血8例（占16．3％）。结论LC术中合理操作，预防和控制止血是提高手术成功率的关键，也能减少术后并发症。
Objective To investigate the prevention and management of the hemorrhage during laparoscopic eholecystectomy （LC） , and improve success ratio. Methods The medical data of 420 cases with LC from May 2003 to 2009, September were analyzed retrospectively, including total number, hemorrhage Site and ways of prevention and management. Results 417 cases experienced successful LC,with success ratio 99.3%. 49 cases （ 11.7% ） had hemorrhage, and in 46 cases（93.9% ）, it was stopped by laparoscope or hemostasis by compression,3 cases were rescued by operation. All hemorrhage sites included 15 eases（30. 6% ） in triangle de Calot,26 eases（53. 1% ） in gallbladder bed, and 8 cases （ 16. 3% ） in incision. Conclusion A reliable opetration and appropriate hemostasis are critical of the successful operation and prevention of complications after LC.
出处
《中国基层医药》
CAS
2010年第6期727-728,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
腹腔镜胆囊切除
出血
腹腔镜
处理
预防措施
Laparoscopie eholeeystectomy
Hemorrhage
Laparoscope
Management
Prevention
