胃大部切除术与胆囊结石形成关系的临床观察  

Clinical Observation of Relationship Between Substotal Gastrectomy and Chololith Lain

作　　者：张伯新[1] 汪素文[1] 周世庆[1] 田淑杰[1] 丁浩[1] 王德荣[1] 汤川进 味村启司 

机构地区：[1]济南市中心医院,济南250013 [2]日本和歌山县医科大学附属医院

出　　处：《临床消化病杂志》2000年第6期260-261,共2页Chinese Journal of Clinical Gastroenterology

摘　　要：目的 :对济南市中心医院 12年间与日本和歌山医科大学 2 0年间 35 5例资料完整的胃大部切除术后患者进行二维超声追踪观察 ,以探讨其与术后胆囊结石形成的关系。方法 :对施行BⅠ式手术 44例 ,BⅡ式手术 311例患者术后每 6～ 12月定期二维超声追踪观察 :其中中国人 193例 ,BⅠ式手术 9例 ,BⅡ式手术 184例 ;日本人 162例 ,BⅠ式手术 35例 ,BⅡ式手术 12 7例。使用二维超声 ,探头频率 3.5MHz。其中 10 5例患者进行了胆囊排空功能测定。术后追踪观察短者 6个月 ,长者达 2 0年。结果 :超声显示胆囊结石 176例占总数 49.75 (176/335 )。术后 1年 30例 ,1～ 5年 5 7例 ,5年以上 99例。BⅠ式手术后患者结石者为 0 ,BⅡ式手术后患结石 176例。结论 :胃大部切除术后有 49.5 7%患者超声显示胆囊结石 ,其发生率与手术方法密切相关 ,与时间及年龄呈正相关。Purpose: During 12 years of Jinan center hospital and 20 years of Wakayama medical university, we followed up 355 patients who had consummate data after subtotal gastrectomy with brightness ultrosonography. Methods: 44 cases with BⅠ operation, 311 cases with BⅡ operation. Among them, 193 cases were Chinese, 162 cases were Japanese. All patients accepted examination of B altrosonography regularly every 6 to 12 months after operation and had been followed up 6 months to 20 years. Among them, 105 cases accepted test of gallbladder's function.Results: No one had chololith after BⅠ opertion while 176 patients (49.75%) had after BⅡ operation. Chololith occured in 30 cases within one year after operation,57 cases in 1 to 5 years and 99 cases over 5 years. Conclusions: The incidence of chololith after gastrectomy was 49.75%(176/355) and related to the operative method and positive relevant to the post operation time as well as patients age.

关 键 词：胃切除术 胆结石 治疗 

分 类 号：R656.61[医药卫生—外科学] R657.42[医药卫生—临床医学]