目的：探讨腹腔镜胆囊切除术中转开腹的相关因素。方法回顾性分析1670例腹腔镜胆囊切除术患者的临床资料，观察中转开腹者与性别、年龄、急性炎症、腹部手术史、体重指数、肝功能损害的相关性。结果1670例腹腔镜胆囊切除术患者中转开腹45例（2.69%，45/1670），Logistic回归分析显示腹部手术史（OR=3.56）、急性炎症（OR=3.12）、年龄大（OR=2.89）是中转开腹的独立危险因素（P<0.05）。结论腹腔镜胆囊切除术存在一定程度的中转开腹率，影响因素复杂，应实施针对性措施以降低其发生率。%Objective To explore the related factors of conversion of laparoscopic cholecystectomy to open. Methods A retrospective analysis of the clinical data of 1 470 cases of laparoscopic cholecystectomy patients , correlation between observed laparotomy and gender,age,acute inflammation,abdominal operation history,body mass index,liver function damage. Results 1670 cases laparoscopic cholecystectomy conversion to open laparotomy 45 cases (2.69%,45/1 670),Logistic regression analysis showed that the history of abdominal operation(OR=3.56),acute inflammation (OR=3.12),age (OR=2.89),is an independent risk factor for conversion to laparotomy(P<0.05). Conclusion There is a certain degree of conclusion laparoscopic cholecystectomy laparotomy ,the impact of complex factors,should be the implementation of measures to reduce the conversion to laparotomy.
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