EST治疗胆总管结石术后复发因素分析  

Recurrence of Factor Analysis about Calculus of Common Bile Duct After EST

作　　者：孟宪梅[1] 武金宝[1] 党彤[1] 

机构地区：[1]包头医学院第二附属医院内蒙古消化病研究所,014030

出　　处：《中国医药指南》2010年第29期182-183,共2页Guide of China Medicine

基　　金：内蒙古自治区高等学校科学研究项目(NJ10183);包头市社会发展科技支撑项目(2010S1004-1)

摘　　要：目的探讨EST治疗胆总管结石术后结石复发的各种危险因素。方法按逆行胰胆管造影常规操作的方法,行EST切开、取石,对患者进行随访5～8年,对结石复发与相关危险因素进行多因素Logistic回归,共分析病例资料560例。结果胆囊切除术、结石大小、十二指肠憩室、胆管角度与EST取石后结石复发有关。结论了解相关危险因素,从而预测EST后胆总管结石的复发,对于临床减少结石复发率,为患者选择合适的治疗方案、降低结石复发率,减轻患者痛苦都具有重要意义。Objective To investigate the calculus of common bile duct after EST treatment of a variety of risk factors for stone recurrence.Methods By ERCP conventional method of operation, EST incision, stone extraction, the patients were followed up 5～8 years, on stone recurrence and associated risk factors in multivariate Logistic regression.Results Cholecystectomy, stone size, duodenal diverticulum, bile duct angle are the risk factors.Conclusions To learn the risk factors to predict recurrence of calculus of common bile duct after EST is great significance of the clinical reduction of stone recurrence rate, choosing suitable for patients of treatment options, reduce the calculus recurrence rate of patients to relieve suffering.

关 键 词：内镜十二指肠乳头括约肌切开术 胆总管结石 复发 

分 类 号：R575.62[医药卫生—消化系统]