摘要
目的 分析胆石症再手术的原因 ,讨论手术主式及结果。方法 回顾并总结我院 1 997年 1月～ 2 0 0 1年 1 2月间收治的 1 1 3例多次胆道手术病例。结果 本组痊愈 1 0 8例 ,手术死亡 5例 ,手术死亡率 4 .4 % ,1例死于手术中广泛渗血 ,另 4例死于重症胆管炎伴多器官功能衰竭 ;术后残石率 1 7.6 % ;获访 85例 ,占 75 .2 % ,随访时间 0 .5～ 5 Y,其中效果优良 6 4例 ,优良率为 5 6 .6 % ,偶尔疼痛及轻度胆管炎者 1 8例 ,占 1 5 .9% ,术后持续黄疸、慢性肝功能衰竭死亡 3例 ,均为胆管癌患者。结论 对于胆石症 ,无论是首次手术还是多次手术 ,均应做好术前检查 ,制定周密的手术计划 ,利用胆道外科和肝脏外科技术 ,努力贯彻去除病灶 ,解除梗阻 ,通畅引流三原则 ,力争将残石率、复发率。
Objective To study the causes of cholelithiasis reoperation and to discuss the mode and the result of operation.Methods A retrospective analysis was used to study 113 cases with reoperation on biliary tract between January 1997 to December 2001 in our hospital.Result 108 cases were recovered and 5 cases died in operation with mortality of 4.4%,one died of extensive bleeding during operation,the other 4 cases died of severity cholahgitis with MOSF,the calculus remaining is 17.6%,85 cases were followed up,the proportion is 75.2%,the follow uptime is 0.5～5 years,64 cases were in good results,and the proportion is 56.6%,the light cholangitis and perchance pain are 18 cases,the proportion is 15.9%,3 cases of cholangiocarcinoma died of last jaundice and chornic hepatic failure.Conclusions No matter the operation or the reoperation of choleithiasis that need theconsmmate examination and operation planthoroughly.We can use the technique of biliary tract and hepar surgery,to eliminate the primary lesion,to relive obstruction and to unobstruct drainage,try our best to reduce rate of calculus remaining relapse and reoperation to the lower limit.
出处
《肝胆外科杂志》
2004年第3期193-195,共3页
Journal of Hepatobiliary Surgery
关键词
胆石症
外科治疗
再手术
Cholelithiasis
Surgicaltreatment
Reoperation.
