胆总管结石术后复发的相关因素分析  

Study on risk factors for the recurrence of cholecystolithiasis after surger

作　　者：刘永国[1] 

机构地区：[1]重庆市急救医疗中心肝胆外科,重庆400014

出　　处：《海南医学》2012年第8期57-58,共2页Hainan Medical Journal

摘　　要：目的探讨胆总管结石术后复发的危险因素,为胆总管结石术后复发的防治提供参考。方法对190例胆总管结石手术患者的临床资料进行回顾性分析,对术后复发的相关危险因素进行Logistic回归分析,筛选胆总管结石术后复发的相关危险因素。结果本组190例胆总管结石患者行EST手术治疗后,经2～5年随访有42例(22.1%)复发。单因素分析结果显示,年龄、结石数量、结石大小、胆石症家族史、缺乏运动、油腻饮食与术后复发有关;多因素Logistic回归法分析表明,结石≥10枚、结石<8 mm、有胆石症家族史、油腻饮食是胆总管结石术后复发的危险因素。结论术前要对上述危险因素加以重点评估,在考虑手术的同时还要考虑上述危险因素,这样可以降低胆总管结石术后复发率。Objective To investigate the risk factors for the recurrence of cholecystolithiasis after surgery,and to provide reference for the prevention and treatment of patients with common bile duct stones.Methods The clinical data of 190 patients with common bile duct stones were studied,and the risk factors for the recurrence of cholecystolithiasis after surgery were analyzed by Logistic.Results After EST surgery,42 of the 190 patients（22.1%） relapsed during the follow-up of 2~5 years.Single-factor analysis showed that age,number of stones,size of stone,family history of cholelithiasis,lack of exercise and fatty diet were correlated to the recurrence of cholecystolithiasis after surgery.Multivariate logistic regression analysis showed that the stones≥10 pieces,stones8 mm,a family history of cholelithiasis and fatty diet were the risk factors of the recurrence of cholecystolithiasis after surgery.Conclusion The risk factors listed above should be evaluated before surgery,taken into account simultaneously when considering the indications of surgery,so as to reduce the recurrence of cholecystolithiasis.

关 键 词：胆总管结石 结石复发 内镜十二指肠乳头括约肌切开术 危险因素 

分 类 号：R575.62[医药卫生—消化系统]