腹腔镜胆囊切除术后胆管损伤的预防.docVIP

精品论文 参考文献 腹腔镜胆囊切除术后胆管损伤的预防 晏兴旺1 安宁2 　　(1成都市温江区人民医院 四川 成都 611130) 　　(2四川省人民医院普外科 四川 成都 610000) 　　【摘要】 目的：探讨腹腔镜胆囊切除术后胆管损伤的预防方法。方法：选取我院在2012年4月至2015年1月间收治的90例行腹腔镜胆囊切除术患者的临床资料，将患者分为观察组与对照组，每组各45例病例。对照组按照常规手术流程实施手术，未采取预防措施，观察组采取胆管手术预防措施，分析两组患者的胆管损伤发生率与患者治疗满意度，并探讨胆管损伤预防方法。结果：①观察组有1例胆道损伤病例，发生率为2.22%，对照组有6例胆管损伤病例，发生率为13.33%，对比有统计学意义（Plt;0.05）。②观察组有44例患者护理满意，总满意度为97.78%。对照组有37例患者护理满意，总满意度为82.22%，两组对比有统计学意义（Plt;0.05）。结论：患者接受腹腔镜胆囊切除术后，通过及时采取预防措施，有利于降低胆管损伤发生率，提高手术治疗的安全性，提升患者治疗满意度，值得临床推广应用。 　　【关键词】 腹腔镜；胆囊切除术；胆管损伤 　　【中图分类号】R61 【文献标识码】A 【文章编号】2095-1752（2016）04-0198-02 　　Prevention of bile duct injury after laparoscopic cholecystectomy YanXingwang1 AnNing 2 　　1Chengdu salween district peoples hospital Chengdu, sichuan province, 611130. 2Chengdu sichuan province peoples hospital. General sichuan 610000. 　　【Abstract】Objective To investigate the prevention of bile duct injury after laparoscopic cholecystectomy. Methods Select our hospital in April 2012 to January 2015 were of the clinical data of 90 patients who underwent laparoscopic cholecystectomy patients divided into observation group and control group, 45 cases in each group. Control group, in accordance with routine operation process operation, did not take preventive measures, observation group to prevent biliary surgery, analysis of the two groups of patients with bile duct injury incidence and patient satisfaction, and bile duct injury prevention method is discussed in this paper. Results (1) Observation group 1 biliary injury cases, the incidence was 2.22%, the control group there are 6 cases of bile duct injury, the incidence was 13.33%, compared with statistical significance (P lt; 0.05). (2) The observation group 44 patients nursing satisfaction, total satisfaction was 97.78%. Control group had 37 patients nursing satisfaction and overall satisfaction was 82.22%, compared the two groups was statistically significant (P lt; 0.05). Conclusion Patients after laparoscopic ch