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目的:评估泌尿外科腹腔镜手术常见并发症的分级及其危险因素。方法:选择2014年3月~2016年5月在郑州大学第一附属医院泌尿外科接受腹腔镜手术治疗的1 138例患者作为研究对象,对患者年龄、性别、体重指数(BMI)、疾病级别、高血压病、血糖、肺部疾病和既往腹部手术史等临床资料进行分析,同时分别采用Stava分级系统评估术中并发症级别,Clavien-Dindo分级系统评估术后并发症,进而解析泌尿外科腹腔镜手术并发症的影响因素。结果:单因素分析表明:BMI、疾病级别、血糖、既往腹部手术病史与患者术中术后出现并发症有关(P<0.05)。多因素分析结果显示疾病级别及血糖是影响患者术中术后出现并发症的独立危险因素(P<0.05)。结论:疾病级别及血糖是影响患者术中术后出现并发症的独立危险因素。
Objective: To evaluate the classification and risk factors of common complications in urology laparoscopic surgery. Methods: A total of 1 138 patients who underwent laparoscopic surgery at the Department of Urology, the First Affiliated Hospital of Zhengzhou University from March 2014 to May 2016 were selected as study subjects. Their age, gender, body mass index (BMI), disease grade, Hypertension, blood glucose, lung disease and history of previous abdominal surgery and other clinical data were analyzed, respectively, while Stava grading system were used to assess the level of intraoperative complications, Clavien-Dindo grading system to assess postoperative complications, and then analyze the urology laparoscopy Factors influencing surgical complications. Results: Univariate analysis showed that the history of BMI, disease grade, blood glucose, previous abdominal surgery and postoperative complications occurred in patients (P <0.05). Multivariate analysis showed that disease grade and blood glucose were independent risk factors for postoperative complications in patients (P <0.05). Conclusion: The level of disease and blood glucose are independent risk factors for postoperative complications in patients.