摘要
目的 探讨胆囊切除术与再发胆总管结石的关系。方法 本院普外科行手术或经内镜十二指肠乳头括约肌切开 ( EST)治疗的原发性胆总管结石患者 193例 ,调查所有患者既往行胆囊切除术的情况 ,计算原发性胆总管结石患者中为胆囊切除术后再发胆总管结石的比例。结果 胆囊切除术后再发胆总管结石患者 31例 ,占 16 .1% ,其性别、年龄分布与原发性胆总管结石患者相比无差别 ,行胆囊切除术与再发胆总管结石的平均时间间隔为 8.1± 6 .3年。结论 胆囊切除术后再发胆总管结石为胆道系统的常见疾病 ,再发胆总管结石的发生除了可能与手术本身相关外 。
Objective To determine the relationship between cholecystectomy and recurrent common bile duct stones.Methods 193 patients with primary common bile duct stones underwent surgery or endoscopic sphincterotomy(EST),to investigate whether they underwent cholecystectomy and calculate the proportion of the recurrent common bile duct stones after the operation.Results 31 of 193(16.1%) patients had already undergone cholecytectomy.The distributions of sex and age of these patients are no differences.19 of 31(61.3%) patients underwent cholecystectomy due to gallbladder stones.The mean interval between cholecystectomy and recurrent bile duct stones is 8.1±6.3 years.Conclusion Recurrent common bile duct stones after cholecystectomy is a common disease.The reason is not only the cholecystectomy itself,but also the conditions already existed when the gallbladder stones were formed.
出处
《肝胆外科杂志》
2001年第6期442-444,共3页
Journal of Hepatobiliary Surgery
