腹腔镜胆囊切除术后胆囊残留病变的诊治分析  

After Laparoscopic Cholecystectomy Residual Gallbladder Disease Diagnosis and Treatment of Analysis

作　　者：康欣[1] 汪涛[2] 张勇[1] 赵良松[1] 胡毅[1] 杨涌[1] 徐茂林[1] 杨兴建[1] 

机构地区：[1]成都市双流县第一人民医院外科,成都610200 [2]成都军区总医院肝胆外科,成都610000

出　　处：《中国医药导刊》2013年第4期613-613,615,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:收集2005年以来我院收治的腹腔镜胆囊切除术后胆囊残留病变患者资料,对腹腔镜术后残留胆囊病变进行诊治分析。方法:对我院收治的20例行腹腔镜胆囊切除术后发生胆囊残留病变的患者进行二次手术治疗,通过手术发现进行具体病变确诊以及治疗效果分析。结果:术后患者的胆囊残留病变均得到判断与证实,切除残留病灶成功。手术前的症状得到控制甚至消失,手术前后对比具有统计学意义。住院所用时间平均为(8.1±1.0)d。结论:按照科学精准的胆囊切除手术步骤进行手术操作,是防止术后胆囊发生残留病变的重要手段。对有明确症状的残留胆囊病变及早诊疗,并进行相应的二次手术治疗,可以改善患者生活质量,治愈疾病。产生的临床效果显著,值得临床推广应用。Objective：To collect 2005 years of our patients after laparoscopic cholecystectomy residual gallbladder disease patients material, laparoscopic postoperative residual gallbladder disease diagnosis and treatment for analysis. Methods：The data of routine were 20 occurs after laparoscopic cholecystectomy gallbladder residual lesions of the patients to do the second surgery treatment, through the surgery for specific lesions found diagnosis and treatment effect analysis. Results：Postoperative patients with gallbladder residual lesions are obtained and confirmed, removing the residual lesions success. Preoperative symptoms under control or even disappear before and after the procedure, contrast with statistical significance. Used in hospital time average was （8.1±1.0）d. Conclusion：According to the scientific accurate cystic resection operation steps, is to prevent postoperative residual gallbladder disease happened the important means. To have a clear residual gallbladder disease symptoms of early diagnosis and treatment, and the corresponding secondary surgery, and could improve patients’ quality of life, heal the sick. The clinical effect of produced significantly, it is worth clinical application.

关 键 词：胆囊残留病变 腹腔镜胆囊切除术 诊治分析 

分 类 号：R657.4[医药卫生—外科学]