肝内胆管结石患者行肝部分切除术后并发症影响因素分析

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Abstract Objective To investigate the influence factors of complications in patients with intrahepatic stones (IHS) after partial hepatectomy (PH).Methods Clinical data of 50 IHS patients who underwent PH and were admitted to the First People′s Hospital of Jiujiang City from January 2015 to March 2019 were retrospectively analyzed.According to postoperative complications,they were divided into complication group (17 cases) and non-complication group (33 cases).The related factors that might affect the occurrence of complications in IHS patients after PH were collected,including gender,age,stones size,stones types,IHS sites,operation time,previous history of biliary tract surgery,range of hepatectomy,times of intraoperative hepatic hilar blockage,and strengthening pulmonary function exercise before and after surgery.The influence factors of complications in IHS patients after PH were analyzed by univariate analysis and Logistic multivariate regression analysis.Results The results of univariate analysis showed that there were statistically significant differences in operation time,previous history of biliary tract surgery,hepatectomy range and strengthening pulmonary function exercise before and after surgery between complication group and non-complication group(P＜0.05).The results of Logistic multivariate regression analysis showed that operation time ≥300 min (β=0.516,OR=1.675,95%CI=0.646-4.343),previous history of biliary tract surgery (β=0.311,OR=1.365,95%CI=0.458-4.063) and not strengthening pulmonary function exercise before and after surgery (β=0.478,OR=1.613,95%CI=0.610-4.267) were independent risk factors of postoperative complications (P＜0.05).Conclusion The operation time ≥300 min,previous history of biliary tract surgery and not strengthening pulmonary function exercise before and after surgery were independent risk factors of postoperative complications in IHS patients after PH.

Key words： Intrahepatic stones Partial hepatectomy Complications Influence factors

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	SUN Ting-li
	GAN Qin
	LIU He-chun

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SUN Ting-li,GAN Qin,LIU He-chun. Influence factors analysis of complications in patients with intrahepatic stones after partial hepatectomy[J]. 中国当代医药, 2020, 27(35): 104-107.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I35/104

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