中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
12期
1319-1320
,共2页
胆囊病变%外科手术%复发原因
膽囊病變%外科手術%複髮原因
담낭병변%외과수술%복발원인
Cholecyst disease%Operation%Recurrent factors
目的 探讨胆囊切除术后症状复发的原因.方法 回顾性分析我院胆囊切除术后又出现临床症状的98例患者的临床资料.结果 98例患者中有95例发现存在器质性病变.复发原因有胆系结石,肝总管狭窄,残留胆囊管过长,慢性胰腺炎,胆总管十二指肠瘘,胆管下段癌,壶腹部肿瘤,十二指肠旁室.结论 胆囊切除术前有条件的应做核磁胆道成像、B超等检查,详细了解病变部位；术中细致探查或加做胆道造影,减少结石残留和术中损伤,可以降低胆囊切除术后症状的复发率.
目的 探討膽囊切除術後癥狀複髮的原因.方法 迴顧性分析我院膽囊切除術後又齣現臨床癥狀的98例患者的臨床資料.結果 98例患者中有95例髮現存在器質性病變.複髮原因有膽繫結石,肝總管狹窄,殘留膽囊管過長,慢性胰腺炎,膽總管十二指腸瘺,膽管下段癌,壺腹部腫瘤,十二指腸徬室.結論 膽囊切除術前有條件的應做覈磁膽道成像、B超等檢查,詳細瞭解病變部位；術中細緻探查或加做膽道造影,減少結石殘留和術中損傷,可以降低膽囊切除術後癥狀的複髮率.
목적 탐토담낭절제술후증상복발적원인.방법 회고성분석아원담낭절제술후우출현림상증상적98례환자적림상자료.결과 98례환자중유95례발현존재기질성병변.복발원인유담계결석,간총관협착,잔류담낭관과장,만성이선염,담총관십이지장루,담관하단암,호복부종류,십이지장방실.결론 담낭절제술전유조건적응주핵자담도성상、B초등검사,상세료해병변부위；술중세치탐사혹가주담도조영,감소결석잔류화술중손상,가이강저담낭절제술후증상적복발솔.
Objective To analyze the cause of the syndrome recurrences of postcholecystectomy.Methods Clinical data of 98 patients with syndrome recurrences of postcholecystectomy were retrospectively reviewed.Results Among 98 cases,95 cases were found with organic lesions.The recurrences included residual or recurrent calculi in extra or intrahepatic bile ducts,stricture of common bile duct,cystic duct remnant,chronic pancreatitis,cholangioduodenal fistula,cancer of biliary ducts,periampullary cancer.Conclusion MRCP and B ultra sound should be conducted before operations to localize the lesion sites.Detailed detection or cholangiography during operation may avoid the injury and incomplete surgery and reduce the recurrence.
