内镜保胆取息肉术后息肉复发的相关因素分析

Analysis on recurrence factors of gallbladder polyps after minimally-invasive operation with gallbladder reservation

摘要:

目的 分析内镜保胆取息肉术后息肉复发的相关危险因素。方法 选择保定市第二医院收治的保胆取息肉术治疗胆囊息肉患者，从随访满1年以上的患者里随机抽取胆囊息肉复发病例和未复发病例，进行回顾性统计分析。先用χ2检验进行单因素分析，再行Logistic多因素回归分析。结果 单因素分析结果显示，胆囊息肉阳性家族史、吸烟史、油腻饮食及相关息肉病理类型，与保胆术后息肉复发具有相关性（均P <0.05）。多因素分析显示，胆囊息肉家族史、吸烟及息肉病理类型与微创内镜保胆取息肉术后息肉复发相关（均P <0.05）。结论 胆囊息肉家族史、吸烟及胆固醇性息肉是内镜保胆取息肉术后息肉复发的危险因素。

Abstract:

【Objectives】 To discuss the risk factors of gallbladder polyps recrudesce after cholecystolithotomy with gallbladder reservation. 【Methods】 The patients after minimally-invasive operation with gallbladder reservation because of polyps of gallbladder were followed up for at least one year. In this population, the patients with recurrence after surgery were as the case group, those patients with no recurrence after surgery were as the control group. Through collection of general data of selected cases, relevant information of ultrasound examinations of gallbladder and history data of the patients questionnaires were completed. Relevant factors of gallstone recurrence of patients were observed through statistic analysis. Main factors go as follows: gender, age, nation, career, BMI, gallbladder polyps family history, smoking and drinking history, diet, body mass index, and the pathology of polyp. 【Results】 By single factor regression analysis, the risk factors of gallbladder polyps recurrence included age, family history of gallstone disease, smoking and greasy diets. Multivariate analysis showed that, gallbladder polyps family history, smoking and cholesterol polyps were the risk factors of gallbladder polyps recurrence. 【Conclusion】 The main hazards of gallbladder polyps recurrence were age, family history of gallstone disease, smoking and greasy diets.