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目的:探讨患者肝血管瘤切除术后并发症及相关危险因素。方法:对2010年1月到2014年4月行肝血管瘤切除术治疗的83例患者进行回顾性分析,对临床基本资料、围手术期、术后并发症等采用单因素logistic分析,对有意义的指标再进行多因素logistic回归分析,分析患者术后并发症发生的原因及危险因素。结果:83例肝血管瘤患者中19例术后发生了并发症,发生率为20.48%(17/83),主要为胆漏6例,肺部感染8例,断面出血2例、切口感染1例、胸腔积液1例。多因素变量筛选后发现肝切除量、失血量和输血量是肝血管瘤术后并发症独立危险因素(P<0.05)。结论:根据肝血管瘤切除术后并发症及危险因素,严格制定手术适应证,减少术中出血以降低患者术后并发症的发生。
Objective: To investigate the postoperative complications of liver hemangiomas and related risk factors. Methods: A retrospective analysis was performed on 83 patients who underwent resection of hepatic hemangiomas from January 2010 to April 2014. One-factor logistic analysis was performed on basic clinical data, perioperative and postoperative complications, Significance of the index and then multivariate logistic regression analysis of the causes of postoperative complications and risk factors. Results: Complications were found in 19 of 83 hepatic hemangiomas with a rate of 20.48% (17/83), including 6 cases of bile leakage, 8 cases of pulmonary infection, 2 cases of section bleeding and 1 case of incisional infection For example, pleural effusion in 1 case. Multivariate analysis showed that hepatectomy, blood loss and blood transfusion were independent risk factors for postoperative complications of hepatic hemangioma (P <0.05). Conclusion: According to the complications and risk factors after resection of hepatic hemangioma, the surgical indications should be strictly established to reduce intraoperative bleeding and reduce the incidence of postoperative complications.