腹腔镜胃旁路精准术后并发症及其对策
【摘要】 目的:总结精准腹腔镜下胃旁路术(LRYGB)后可能出现的并发症及其危险因素、治疗对策。方法:回顾性分析2010年6月-2013年12月本院89例采用精准腹腔镜胃旁路术治疗的患者,详细记录并分析其临床资料。结果:89例患者出现早期术后并发症9例(10.1%),年龄>50岁、糖尿病史、BMI升高为术后早期并发症的危险因素(OR值分别为1.87、2.14、1.78,P50岁、女性、合并慢性消化道疾病史为术后晚期并发症的危险因素(OR值分别为1.82、1.96、1.67,P中国论文
【关键词】 腹腔镜胃旁路手术; 并发症; 对策
The Complications and Countermeasures of Accurate after Laparoscopic Gastric Bypass Surgery/PU Guo-shi.//Medical Innovation of China,2015,12(08):120-123
【Abstract】 Objective:To investigate the rate of plications after precise gastric bypass(LRYGB) with laparoscopic,discuss the measurements of plications. Method:89 cases of patients were selected who had precised laparoscopic gastric bypass surgery treatment from June 2010 to December 2013 in our hospital.Result:9 cases(10.1%) patients accureed early postoperative plications, patients which age more than 50 years-old, bined diabetes, or with higher BMI score were the risk factors of early postoperative plications (OR value were respectively of 1.87,2.14,1.78,P50 years,female,and bined chronic gastrointestinal disease history were the risk factors of late postoperative plications (OR values were 1.82,1.96,1.67,P50岁、合并糖尿病、BMI>28 kg/m2为出现早期并发症的危险因素(OR值分别为1.87、2.14、1.78,P50岁、女性、合并慢性消化道疾病史为出现晚期并发症的危险因素(OR值分别为1.82、1.96、1.67,P50岁 1.87 1.34-2.74 0.05
BMI>28 kg/m2 1.78 1.13-2.72