摘要
目的探讨合并肝硬化的胆囊结石的发病机制，总结其临床特点、诊断及腹腔镜胆囊切除术治疗的经验。方法对1994年10月至2006年10月收治的112例经腹腔镜胆囊切除术治疗的合并肝硬化的胆囊结石的临床资料进行分析。结果112例中，105例完成腹腔镜胆囊切除术，中转开腹手术7例；胆管损伤1例，无其他严重并发症。92例随访效果良好。结论合并肝硬化的胆囊结石以老年男性多见，色素性结石为主。首选超声检查，确诊后大多数可行腹腔镜胆囊切除术。正确掌握手术指征及手术操作技巧，注重围手术期处理是成功的关键。
Objective To explore the potential pathogeny and summarize the clinical traits, diagnosis and therapeutic experience of laparoscopic cholecystectomy in cholecyst calculus patients combined with liver cirrhosis. Methods The clinical data of 112 cholecyst calculus patients combined with liver cirrhosis who had been performed with laparoscopic cholecystectomy were retrospectively reviewed in this hospital from October 1994 to October 2006. Results Among 112 patients, 105 patients were performed with laparoscopic cholecystectomy,7 patients were converted to open operation; 1 patient had trauma of bile duct, the rest had not severe complications; 92 patients had follow-up and were healthy;20 cases had no follow-up. Conclusion Cholecyst calculus combined with liver cirrhosis is a disease with high prevalence. Most of the patients are the aged men, among whom pigmentary calculus accounts for the most shares. Ultrasonic examination should be preferable and most of the patients can be performed with laparoscopic cholecystectomy. It is very important for doctors to master accurately operative indications of cholecyst calculus combined with liver cirrhosis and technical characteristics of laparoscopic cholecystectomy and to pay attention to the perioperative management.
出处
《中国基层医药》
CAS
2008年第1期32-33,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胆囊切除术
腹腔镜
肝硬化
胆结石
Cholecystectomy, laparoscopic
Liver cirrhosis
Cholelithiasis
