保留胆囊对胆总管结石合并胆囊结石患者经内镜逆行胰胆管造影术后恢复的影响  

Effect of Gallbladder Preservation on Recovery of Patients with Common Bile Duct Stones Complicated with Gallbladder Stones after Endoscopic Retrograde Cholangiopancreatography

作　　者：王全良 WANG Quan-liang(Department of General Surgery,Xiangcheng Second People's Hospital,Zhoukou 466200,Henan Province,China)

机构地区：[1]项城市第二人民医院普外科,河南周口466200

出　　处：《罕少疾病杂志》2022年第2期60-62,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨保留胆囊对胆总管结石合并胆囊结石患者经内镜逆行胰胆管造影术(ERCP)后恢复的影响。方法回顾性分析我院2016年1月至2019年1月收治的80例胆总管结石合并胆囊结石患者,所有患者均行ERCP术取石,依据胆囊是否切除分为胆囊保留组(37例)和胆囊切除组(43例),比较两组肠道恢复时间、住院时间、住院费用、生活质量[体力状况评分(ZPS)、功能状态评分(KPS)]及胆道事件发生率。结果胆囊保留组肠道恢复时间、住院时间、住院费用显著少于胆囊切除组(P<0.05);胆囊保留组ZPS评分显著低于胆囊切除组(P<0.05),KPS评分显著高于胆囊切除组(P<0.05);胆囊切除组胆道事件发生率为13.95%,胆囊保留组胆道事件发生率为21.62%,两组比较无显著差异(P>0.05)。结论保留胆囊能够缩短胆总管结石合并胆囊结石患者ERCP术后肠道恢复时间、住院时间,减少住院费用,促进术后恢复,提高生活质量,因此针对不存在胆囊切除绝对手术指征患者,推荐ERCP术取石后保留胆囊。Objective To explore the effect of gallbladder preservation on the recovery of patients with common bile duct stones complicated with gallbladder stones after endoscopic retrograde cholangiopancreatography(ERCP). Methods A retrospective analysis was performed on 80 patients with common bile duct stones complicated with gallbladder stones who were treated in the hospital between January 2016 and January 2019. All patients underwent ERCP for stone removal, and they were divided into gallbladder preservation group(37 cases) and gallbladder resection group(43 cases) according to whether the gallbladder was removed. The intestinal recovery time, hospital stay, hospitalization cost,quality of life [Zubrod Physical Status Score(ZPS), Karnofsky Performance Status Score(KPS)] and incidence rate of biliary events were compared between the two groups. Results The intestinal recovery time, hospital stay and hospitalization cost of gallbladder preservation group were significantly shorter or less than those of gallbladder resection group(P<0.05). The ZPS score of gallbladder preservation group was significantly lower than that of gallbladder resection group(P<0.05) while the KPS score was significantly higher than that of gallbladder resection group(P<0.05). The incidence rate of biliary events was 13.95% in gallbladder resection group and was 21.62% in gallbladder preservation group(P>0.05). Conclusion Gallbladder preservation can shorten the intestinal recovery time and hospital stay, reduce hospitalization cost, promote postoperative recovery and improve the quality of life of patients with common bile duct stones complicated with gallbladder stones after ERCP.Therefore, gallbladder preservation after ERCP is recommended for patients without absolute indications for gallbladder resection.

关 键 词：胆总管结石 胆囊结石 经内镜逆行胰胆管造影术 保留胆囊 

分 类 号：R575.621[医药卫生—消化系统] R657.4[医药卫生—内科学]