肝硬化病人胆囊结石的外科处理方法  

Surgical management of 36 cases of cholecystolithiasis complicated with hepatocirrhosis

作　　者：李楠[1] 丁光辉[1] 周国庆 

机构地区：[1]第二军医大学附属东方肝胆外科医院综合三科,上海200438 [2]河北省沧州市第一人民医院外五科

出　　处：《腹部外科》2006年第2期88-89,共2页Journal of Abdominal Surgery

摘　　要：目的 探讨肝硬化病人胆囊结石外科处理的有效方法。方法 回顾性分析我们于2003年1月-2005年6月对肝硬化病人合并胆囊结石者行胆囊切除术36例的临床资料。结果 肝硬化合并胆囊结石较同期无肝硬化者手术出血量增加、住院时间延长，围手术期危险性显著增高。结论 肝硬化是胆囊切除术围手术期高风险的主要原因。正确掌握手术适应证、规范手术操作是提高围手术期安全性的关键。Objective To investigate the methods of surgical management in patients with cholecystolithiasis complicated with hepatocirrhosis. Methods The clinical data of 36 eases of cholecystolithiasis complicated with hepatocirrhosis undergoing cholecystectomy were retrospectively analyzed. Results In patients with cholecystolithiasis complicated with hepatocirrhosis, the bleeding volume during cholecystectomy was increased, the hospital stay（days）was prolonged and the perioperative risk was increased significantly. Conclusion Hepatocirrhosis was the main reason for high perioperative risk during cholecystectomy. The appropriate choice of operable indication and standardization of surgical management are the keys to the increase of perioperative security.

关 键 词：胆结石 肝硬化 胆囊切除术 手术期间 

分 类 号：R155.1[医药卫生—营养与食品卫生学] R826.5[医药卫生—公共卫生与预防医学]