摘要
目的 :探讨并建立一个急性胆囊炎行腹腔镜胆囊切除术 (LC)手术失败的预测模式 ,并确立量化的手术指征。方法 :回顾分析我院 2 2 8例急性胆囊炎LC的诊治经验。结果 :(1)右上腹手术史或发作史 ,临床症状 ,B超表现 ,技术因素在统计学上和LC失败率有相关性 (P <0 0 5 ) ;(2 )急性胆囊炎行LC失败预测方程式 =0 0 5 2 + 0 12 1右上腹部手术史赋值 + 0 0 6 4临床症状赋值 + 0 0 75胆囊B超表现赋值 + 0 182技术因素赋值 (P <0 0 1)。结论 :危险因素术前评分系统PRFSS大于等于 6分组应首选开腹手术。PRFSS是简单 ,实用 ,可行的评分系统。
Objective:To explore and try to build a predictive model and quantitative operative indication for laparoscopic cholecystectomy(LC) in acute cholecystitis.Methods:The LC experiences on 228 cases of acute cholecystitis were summarized and analyzed retrospectively.Results:(1)The right upper quadrant operation history or recurrence history,clinical symptom, B ultrasound manifestation, skill factor were correlation to the failure rate of LC in acute cholecystitis; (2)The equation for predicting LC in acute cholecystitis=0 052+0 121 right upper quadrant operation history or recurrence history variable+0 064 clinical symptom variable+0 075 B ultrasound manifestation variable+0 182 skill factor variable (P<0.01).Conclusions:The patients with PRFSS≥6 should accept open cholecystectomy instead of LC. PRFSS is a simple, practical and feasible failure rate evaluation system for LC in acute cholecystitis.
出处
《腹腔镜外科杂志》
2003年第1期11-13,共3页
Journal of Laparoscopic Surgery
关键词
胆囊炎
胆囊切除术
腹腔镜
预测
危险因素
Holecystitis
Cholecystectomy,laparoscopy
Forecasting
Risk factors
