胆总管内径与非结石、非肿瘤梗阻性胆囊切除术后综合征的关系  

Relationship between Inner Diameter of Common Bile Duct and Postcholecystectomy Syndrome in Non-tumor and Non-stone-associated Obstruction

作　　者：胡智安[1] 韩鄂辉[1] 张频[1] 洪伟[1] 

机构地区：[1]黄石市中心医院功能科彩超室,湖北黄石435000

出　　处：《南昌大学学报（医学版）》2012年第2期27-29,共3页Journal of Nanchang University：Medical Sciences

摘　　要：目的探讨胆总管(CBD)内径与非结石、非肿瘤因素梗阻引起的胆囊切除术后综合征(PCS)的关系。方法经彩超分别测量300例临床诊断为PCS患者(PCS组)的CBD内径,同时测量306例胆囊切除术后无明显症状患者(对照组)的CBD内径作为对照。并比较行开腹或腹腔镜手术者PCS的发病率。结果开腹或腹腔镜手术者CBD的内径比较,差异无统计学意义(P>0.05);CBD内径≤6mm时,易出现PCS,CBD内径处于>6～≤12mm时PCS发病率较低(P<0.01);当CBD内径>12mm时,2组PCS的发病率差异无统计学意义(P>0.05)。结论非梗阻性PCS的发病与手术方式无关,但是随着CBD内径的减小而增高,当CBD内径处于>6～≤12mm时发病率较低。Objective To analyze the relationship between the inner diameter of common bile duct（CBD） and the morbility of postcholecystectomy syndrome（PCS） in non-tumor-and non-stone-associated obstruction.Methods Inner diameter of CBD was measured by color Doppler ultrasound in 300 patients with clinically diagnosed PCS（PCS group） and 306 patients without obvious postoperative symptoms（control group）.The incidence of PCS was compared between patients undergoing open surgery and patients undergoing laparoscopic surgery.Results There were no significant differences in inner diameter of CBD between open surgery patients and laparoscopic surgery patients（P0.05）.The incidence of PCS was high among patients with CBD diameter ≤6 mm,but low among patients with CBD diameter 6~≤12 mm（P0.01）.No obvious differences was found between patients with CBD diameter 12 mm in PCS group and those in control（P0.05）.Conclusion The incidence of non-obstructive PCS is not correlated with surgical procedures,but increases with the decrease of CBD diameter among post-cholecystectomy patients,especially among patients with CBD diameter 6~≤12 mm.

关 键 词：胆囊切除术后综合征 胆总管内径 手术方式 非结石 非肿瘤 

分 类 号：R657.4[医药卫生—外科学] R445.1[医药卫生—临床医学]