肝叶切除术治疗后肝内胆管结石复发的危险因素研究

发布时间：2018-10-30 07:29

【摘要】：目的探讨肝内胆管结石患者采用肝叶切除术治疗后结石复发的危险因素。方法选取2008年1月—2015年1月本院收治的174例行肝叶切除术治疗的患者,对患者的病历资料进行回顾性分析。按照胆总管结石复发标准分为复发组和非复发组,通过单因素和多因素分析确定肝内胆管结石复发的危险因素。结果 174例患者中有167例成功获得确切随访,有24例患者肝内胆管结石复发,复发率为14.4%。胆总管直径15 mm[OR=5.162,95%CI(2.582,17.256)]、肝内结石≥10 mm[OR=2.687,95%CI(1.421,4.452)]、多处结石[OR=3.214,95%CI(1.542,5.286)]及合并胆道炎症[OR=1.986,95%CI(1.214,4.159)]是肝叶切除术后肝内胆管结石复发的影响因素(P0.05)。结论胆总管直径15 mm、肝内结石10 mm、多处结石及合并胆道炎症是肝叶切除术治疗后肝内胆管结石复发的危险因素。
[Abstract]:Objective to investigate the risk factors of calculi recurrence after hepatectomy in patients with intrahepatic cholelithiasis. Methods 174 patients treated with lobectomy from January 2008 to January 2015 were retrospectively analyzed. According to the criteria of choledocholithiasis recurrence was divided into recurrent group and non-recurrent group. The risk factors of intrahepatic cholelithiasis recurrence were determined by univariate and multivariate analysis. Results 167 of 174 cases were followed up successfully, 24 cases of intrahepatic cholelithiasis recurred, the recurrence rate was 14.4%. The diameter of common bile duct was 15 mm [OR=5.162,95%CI (2.582 卤17.256)], intrahepatic calculi 鈮，

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