胆囊切除术与胆汁反流性胃炎关系研究

发布时间：2018-06-08 10:28

  本文选题：胆囊切除术 + 胆汁反流性胃炎　； 参考：《宁夏医科大学》2015年硕士论文

【摘要】：目的通过回顾性分析及随访了解胆囊切除术后胆汁反流性胃炎的发病率,探讨胆囊切除术中不同术式等因素之间所致胆汁反流性胃炎发病率统计比较。方法将宁夏医科大学附属总院胃镜室2012年1月至2012年12月一年中入选的行胃镜检查患者,通过回顾性了解其流行病学特点,及胃镜病理明确诊断为胆汁反流性胃炎,比较胆囊切除术后病人与未切除人群中患病率;比较胆囊切除组中发生胆汁反流性胃炎各因素分析,患病率比较用χ2检验(P0.05)。结果1.胆囊切除术后胆汁反流性胃炎患病率较未切除人群明显升高(分别为10.07%、5.08%),患病率比较用χ2检验(得出P0.005),差异有统计学意义。2.胆囊切除后发生的胆汁反流性胃炎人群中,年龄组≥40岁较年龄组40岁中患病率高,差异比较有统计学意义;手术时间≥60min组较60min组患病率高,差异比较有统计学意义;术后留置T管较不置管患病率低,差异比较有统计学意义;男、女性别组中的患病率患病率比较用χ2检验(P=0.134),差异无统计学意义;腹腔镜切除与开腹切除两种不同术式患病率比较差异无明显统计学意义。结论1.胆囊切除术是胆汁反流性胃炎的致病因素,切除胆囊后胆汁反流性胃炎发病率明显增高。2.胆囊切除术因素中,年龄≥40岁、手术时间≥60min是危险因素,术后留置T管是保护因素。
[Abstract]:Objective to investigate the incidence of bile reflux gastritis after cholecystectomy by retrospective analysis and follow-up, and to explore the statistical comparison of the incidence of bile reflux gastritis caused by different surgical methods in cholecystectomy. Methods from January 2012 to December 2012, the patients selected from the gastroscope room of the affiliated General Hospital of Ningxia Medical University were selected for gastroscope examination. The epidemiological characteristics and pathological diagnosis of gastroscopy were retrospectively analyzed and diagnosed as bile reflux gastritis. The prevalence of cholecystectomy was compared with that of unresectable patients, and the incidence of bile reflux gastritis in cholecystectomy group was compared by 蠂 2 test (P 0.05). Result 1. The prevalence of bile reflux gastritis after cholecystectomy was significantly higher than that of the unresectable group (10.075.08, respectively. 蠂 ~ 2 test was used to compare the prevalence rate (P 0.005), the difference was statistically significant. The prevalence rate of bile reflux gastritis after cholecystectomy was higher in the age group 鈮，

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