胆总管结石术后复发危险因素的分析

发布时间：2018-04-19 10:30

  本文选题：胆总管结石复发 + 危险因素　； 参考：《中国中西医结合外科杂志》2016年06期

【摘要】：目的:分析胆总管结石术后复发的危险因素。方法:选择2009年2月—2012年5月胆总管结石患者385例,从一般情况、胆道情况、结石情况、治疗情况4个方面对胆总管结石的复发进行统计分析。结果:385例中胆总管结石复发组58例,未复发组327例,胆总管结石复发率为15.1%。年龄60岁患者胆总管结石复发率明显升高,(P=0.009),乳头旁憩室、胆总管直径≥10 mm、胆总管下段狭窄为结石复发的危险因素(P=0.002,P=0.006,P=0.01),而合并胆囊结石与胆总管结石的复发无相关性(P=0.167),多发结石(≥2)患者的复发率为18.05%,而单发结石患者复发率为6.78%,前者的复发率明显升高(P=0.004);结石直径≥10 mm的患者复发率为21.65%,而结石直径10 mm的患者复发率为12.85%,二者相比具有统计学意义(P=0.036),EST相较于开放或腹腔镜胆总管探查更容易出现结石复发(P0.001),术后给予中药治疗相较于为治疗组可以明显降低胆总管结石的复发率。结论:高龄、有乳头旁憩室、胆总管直径≥10mm、多发结石和行EST治疗是胆总管结石复发的独立危险因素,而术后给予中药治疗可以明显降低胆总管结石的复发。
[Abstract]:Objective: to analyze the risk factors of postoperative recurrence of choledocholithiasis.Methods: 385 patients with choledocholithiasis were selected from February 2009 to May 2012. The recurrence of choledocholithiasis was statistically analyzed from four aspects: general condition, biliary tract condition, stone condition and treatment.Results the recurrence rate of choledocholithiasis was 15.1in 385 cases of choledocholithiasis recurrence group (58 cases) and no recurrence group (327 cases).The recurrence rate of choledocholithiasis in patients aged 60 years was significantly higher than that in patients with parapillary diverticulum.The diameter of common bile duct 鈮，

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