天津医药

天津医药 ›› 2017, Vol. 45 ›› Issue (8): 865-868.doi: 10.11958/20170554

• 临床研究 • 上一篇    下一篇

胆囊切除术后综合征现状调查及危险因素分析

冯其贞， 武菲， 李建军△   

  1. 济宁医学院 （邮编 272067）
  • 收稿日期:2017-05-11 修回日期:2017-07-05 出版日期:2017-08-15 发布日期:2017-08-15
  • 通讯作者: △通讯作者 E-mail: lixv16@sohu.com E-mail:lixv16@sohu.com
  • 作者简介:冯其贞 （1986）， 男， 硕士， 助教， 主要从事外科学与康复医学相关研究

The investigation and risk factors analysis of postcholecystectomy syndrome

FENG Qi-zhen, WU Fei, LI Jian-jun△   

  1. Jining Medical University, Jining 272067, China
  • Received:2017-05-11 Revised:2017-07-05 Published:2017-08-15 Online:2017-08-15
  • Contact: △Corresponding Author E-mail： lixv16@sohu.com E-mail:lixv16@sohu.com

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摘要： 目的 了解胆囊切除术后综合征（PCS）的发生情况并分析其发生的危险因素， 为临床预防 PCS 提供理 论依据。方法 采用回顾性分析的方法， 收集 2013 年 5 月 1 日—2014 年 4 月 30 日期间于济宁医学院附属医院肝 胆外科行胆囊切除术的 338 例患者资料， 其中 316 例随访成功， 包括男 101 例， 女 215 例。分别从血型、 饮酒史、 吸 烟史、 糖尿病史、 精神焦虑、 饮食倾向、 有术前症状等 7 个方面影响因素进行电话回访收集数据， 采用二分类 Logistic 回归分析 PCS 发生的影响因素。结果 316 例患者中， 根据 PCS 诊断标准， 诊断为 PCS 者 115 例， 发生率 为 36.39%。上述 7 项影响因素中， 精神焦虑 （P＜0.001）、 有术前症状 （P=0.032） 为 PCS 的危险因素。结论 PCS 的 诊断和治疗较为复杂， 应以针对 PCS 危险因素的预防为主， 注重术前沟通， 对患者进行个体化分析， 减少 PCS 的 发生。

关键词: 胆囊结石病, 息肉, 胆囊切除术后综合征, 危险因素

Abstract: Objective To investigate the incidence and risk factors of postcholecystectomy syndrome (PCS), and provide theoretical basis for the prevention of PCS. Methods A total of 338 patients with PCS were randomly selected in our hospital from May 1st 2013 to April 30th 2014, in which 316 cases were successful followed up including 101 males and 215 females. The data were collected from the 7 aspects including blood type, drinking history, smoking history, diabetes history, mental anxiety, dietary tendence and preoperative symptoms, and which were analyzed by binary-logistic regression analysis. Results According to the PCS diagnostic criteria, 115 patients were diagnosed with PCS (36.39%). The anxiety status and preoperative discomfort were closely related to the occurrence of PCS, with statistically significant difference (P<0.05). Conclusion The diagnosis and treatment of PCS are more complicated. We should focus on the prevention of PCS according to its risk factors, and pay attention to preoperative communication and individualized analysis of patients in order to reduce the occurrence of PCS.

Key words: cholecystolithiasis, polyps, postcholecystectomy syndrome, risk factors