保胆取石术后结石复发的危险因素分析  

Analysis of the risk factors for recurrent gallbladder calculi in trauma surgery for calculi removal and gallbladder preservation

作　　者：陈超[1] 谢佳明[1] 孙亦晖[1] 谷春伟[1] 吴浩荣[1] 

机构地区：[1]苏州大学附属第二医院普外科,215000

出　　处：《中华腔镜外科杂志（电子版）》2015年第6期49-52,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

摘　　要：目的探讨保胆取石术后结石复发的可能的相关危险因素。方法对182例胆囊结石患者行腹腔镜联合硬性胆道镜微创保胆取石术,通过随访收集并分析苏州大学附属第二医院2009年4月至2014年9月患者的临床资料,采用单因素及多因素Logistic回归分析对15例结石复发患者相关的危险因素进行分析。结果结石数量多发、胆石症阳性家族史、缺乏运动、胆囊黏膜厚度与内镜保胆取石术后结石复发有关(P<0.05)。结论结石数量多发、胆石症阳性家族史、缺乏运动、胆囊黏膜厚是内镜保胆取石术后结石复发的危险因素。对临床减少保胆取石术后结石复发具有一定指导意义。Objective To explore the crucial risk factors for gallbladder calculi recurrence associated with combined microscopic laparoscopy, hard gallbladder endoscopy, and soft eholedochoscopy in trauma surgery for calculi removal and gallbladder preservation. Methods The clinical and follow-up data from 182 patients （including 15 recurrent cases） with choleeystolithiasis who underwent minimally invasive surgery for calculi removal and gallbladder preservation at the 2nd Affiliated Hospital of Soochow University from Apr. 2009 to Sep. 2014 were collected. Logistic regression analyses were utilized to evaluate these data. Results Multivariable analysis indicated that an excessive number of calculi, positive family history, lack of exercise and mucosal thickening were the primary risk factors for gallbladder calculi recurrence associated with combined hard gallbladder endoscopy and soft choledochoscopy for calculi removal and gallbladder preservation （ P 〈 O. 05 ）. Conclusions An excessive number of calculi, positive family history, lack of exercise and mucosal thickening are the crucial risk factors for gallbladder calculi recurrence associated with combined microscopic laparoscopy, hard gallbladder endoscopy, and soft choledochoseopy in trauma surgery for calculi removal and gallbladder preservation. This study assists doctors and patients in reducing the likelihood of postoperative relapse after calculi removal and gallbladder preservation using the combination of hard gallbladder endoscopy and soft choledochoscopy.

关 键 词：胆囊结石 保胆 复发 危险因素 

分 类 号：R657.4[医药卫生—外科学]