腹腔镜胃旁路精准术后并发症及其对策.docVIP

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，P0.05），所有患者经对症处理后病情均得到缓解。结论：腹腔镜下胃旁路手术并发症并不少见，年龄大、合并糖尿病、肥胖的患者更容易出现早期术后并发症，年龄大、女性、合并慢性消化道疾病史的患者更容易出现晚期术后并发症，临床上更应注意此类患者的术后情况，其出现并发症应积极采取对症处理。 　　【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 complications after precise gastric bypass（LRYGB） with laparoscopic，discuss the measurements of complications. 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 complications， patients which age more than 50 years-old， combined diabetes， or with higher BMI score were the risk factors of early postoperative complications （OR value were respectively of 1.87，2.14，1.78，P50 years，female，and combined chronic gastrointestinal disease history were the risk factors of late postoperative complications （OR values were 1.82，1.96，1.67，P0.05）.All patients in this study were had remission after taken appropriate treatment.Conclusion：Laparoscopic gastric bypass surgery complications are not uncommon，and patients of older，combined diabetes，or with higher BMI score hare more possible to occurred early postoperative complications.Older，female，and combined chronic gastrointestinal disease history more possible to occurred late postoperative complications.Such kinds of patients should be pay more attention in clinical work，taken appropriate treatment in the first time once occurred of complications 　　【Key words】 Laparoscopic gastric bypass surgery； Complications； Countermeasures 　　First-author’s addr