胆囊切除术后症状复发的原因分析  

Analyze the cause of recurrence of cholecystectomy

作　　者：李启东[1] 贾振庚[1] 

机构地区：[1]中日友好医院普外科,北京100029

出　　处：《中国综合临床》2011年第12期1319-1320,共2页Clinical Medicine of China

摘　　要：目的探讨胆囊切除术后症状复发的原因。方法回顾性分析我院胆囊切除术后又出现临床症状的98例患者的临床资料。结果98例患者中有95例发现存在器质性病变。复发原因有胆系结石，肝总管狭窄，残留胆囊管过长，慢性胰腺炎，胆总管十二指肠瘘，胆管下段癌，壶腹部肿瘤，十二指肠旁室。结论胆囊切除术前有条件的应做核磁胆道成像、B超等检查，详细了解病变部位；术中细致探查或加做胆道造影，减少结石残留和术中损伤，可以降低胆囊切除术后症状的复发率。Objective To analyze the cause of the syndrome recurrences of postcholecystectomy. Methods Clinical data of 98 patients with syndrome recurrences of postcholecystectomy were retrospectively reviewed. Results Among 98 cases, 95 cases were found with organic lesions. The recurrences included residual or recurrent calculi in extra or intrahepatic bile ducts, stricture of common bile duct, cystic duct remnant, chronic pancreatitis, cholangioduodenal fistula, cancer of biliary ducts, periampullary cancer. Conclusion MRCP and B ultra sound should be conducted before operations to localize the lesion sites. Detailed detection or cholangiography during operation may avoid the injury and incomplete surgery and reduce the recurrence.

关 键 词：胆囊病变 外科手术 复发原因 

分 类 号：R657.4[医药卫生—外科学]