中西医结合治疗老年患者胆囊切除术后继发胆总管结石27例临床报导  

Clinical Report of 27 Cases of Seconda ry Choledocholith After Cholecystectomy of Elder Patients Treated with Combination of TCM with Western Medicine

作　　者：张升良[1] 陈天波[1] 

机构地区：[1]云南省中医医院,云南昆明650021

出　　处：《云南中医中药杂志》2002年第2期12-13,共2页Yunnan Journal of Traditional Chinese Medicine and Materia Medica

摘　　要：目的 :初步探讨中西医结合治疗老年患者胆囊切除术后继发胆总管结石的适应症 ,以提高临床疗效。方法 :回顾性地分析 2 7例胆囊切除术后继发胆总管结石的临床资料。包括中医辨证分型、基本治疗和手术时机选择。结果 :2 7例中肝郁气滞型 8例均痊愈 ,肝胆湿热型 16例中转手术 8例 ,痊愈 15例 ,死亡1例 ;脓毒炽盛型 3例均需手术 ,死亡 2例。 2 7例中治愈 2 4例占 89% ,死亡 3例占 11% ,中转手术 11例。结论 :对老年性胆囊切除术后继发胆总管结石的中西医结合治疗中 ,肝郁气滞型疗效较好 ,肝胆湿热型次之 。Objective:To explore the indication of secondary choledocholith after cholecystectomy of elder patients treated with combination of TCM with Western Medicine to improve the clinical effects.Method;Review and analyze the clinical document of the 27 cases of secondary choledocholith after cholecystectomy,including TCM differentiation and type division,basic treatment and selection of operation time.Result:8 cases of stagnation of the liver-qi type were cured.8 cases in 16 cases of dampness and heat in the liver and gallbladder type took operation,in which 2 cases died.Altogether,24 cases were cored in 27 cases,it made up 89%,Thee case died,it covered 11%,11 cases took operation.Conclusion:in the treatment of secondary choledocholith after cholecystectomy of elder patients by combination of TCM with Western Medicine,there was a better effect for stagnation of the liver-qi type,good effect for dampness and heat in the liver and gallbladder type.Operation should be given early to pus and toxin type.

关 键 词：老年人 术后 疗效 病例报告 中西医结合治疗 胆囊切除术 继发胆总管结石 

分 类 号：R657.4[医药卫生—外科学]