保胆取石术后复发与代谢综合征的相关性观察  

Relationship between Metabolism Syndrome and Recurrence of Cholecystolithiasis after Gallbladder-Preserving Therapy

作　　者：骆助林[1] 汪涛[1] 田伏洲[1] 陈理国[2] 刘湘林[1] 王华[1] 宋宗涛[2] 

机构地区：[1]成都军区总医院普通外科中心,成都市610083 [2]解放军452医院普通外科,成都市610021

出　　处：《中华全科医学》2012年第7期1010-1011,共2页Chinese Journal of General Practice

基　　金：四川省卫生厅科研基金(110491)

摘　　要：目的观察保胆取石术后长期结石复发情况,分析代谢综合征及其相关指标与结石复发的相关性。方法收集医院2000年1月-2006年1月的保胆取石患者,均采用小切口微创保胆取石手术,其中148例通过信访或电话随访6～12年获得随访资料,统计总的结石复发率,并采用关联性分析方法,评估代谢综合征、体重指数、高血压、高血脂和高血糖与结石复发的相关性,其诊断标准符合2004年中华医学会糖尿病分会《关于中国人代谢综合征的建议》。结果 148例患者中54例结石复发,总复发率36.49%。代谢综合征、体重指数、高血脂和高血糖均与结石复发相关(P<0.05),高血压与结石复发无相关性(P>0.05)。结论保胆取石术是一种有效地治疗胆囊结石的方法,代谢综合征在胆结石复发中具有一定的作用。Objective To observe the long-term recurrence rate of cholecystolithiasis after gallbladder-preserving therapy and analyze the relationship between the metabolism syndrome（MS） and the recurrence of cholecystolithiasis.Methods They clinical data of patients with cholecystolithiasis undergoing the microinvasive gallbladder-preserving therapy from January 2000 to January 2006 in our hospital were collected.There are 148 cases were followed up from 6 to 12 years using correspondence or telephone.The recurrence rate of cholecystolithiasis was observed.The association analysis method was used to analyze the relationship between the recurrence of cholecystolithiasis and MS,BMI,hypertension,hyperlipidemia and hyperglycemia.The diagnosis standards meet up with ＂about Chinese metabolic syndrome proposal＂ in 2004 by the association of diabetes.Results There were 54 in 148 cases with recurrence of cholecystolithiasis,and the overall recurrence rate was 36.49%.The risk factors relating to recurrence of cholecystolithiasis were MS,BMI,hyperlipemia and hyperglycemia（P0.05）,hypertension had no relationship with the recurrence.Conclusion The gallbladder-preserving therapies offers a valuable therapeutic to this disease,metabolism syndrom plays a key role in the recurrence of cholecystolithiasis.

关 键 词：胆囊结石 保胆取石术 代谢综合征 复发 

分 类 号：R657.42[医药卫生—外科学]