本文選題：膽總管結(jié)石復(fù)發(fā) + 危險(xiǎn)因素�。� 參考：《中國中西醫(yī)結(jié)合外科雜志》2016年06期

【摘要】：目的:分析膽總管結(jié)石術(shù)后復(fù)發(fā)的危險(xiǎn)因素。方法:選擇2009年2月—2012年5月膽總管結(jié)石患者385例,從一般情況、膽道情況、結(jié)石情況、治療情況4個(gè)方面對膽總管結(jié)石的復(fù)發(fā)進(jìn)行統(tǒng)計(jì)分析。結(jié)果:385例中膽總管結(jié)石復(fù)發(fā)組58例,未復(fù)發(fā)組327例,膽總管結(jié)石復(fù)發(fā)率為15.1%。年齡60歲患者膽總管結(jié)石復(fù)發(fā)率明顯升高,(P=0.009),乳頭旁憩室、膽總管直徑≥10 mm、膽總管下段狹窄為結(jié)石復(fù)發(fā)的危險(xiǎn)因素(P=0.002,P=0.006,P=0.01),而合并膽囊結(jié)石與膽總管結(jié)石的復(fù)發(fā)無相關(guān)性(P=0.167),多發(fā)結(jié)石(≥2)患者的復(fù)發(fā)率為18.05%,而單發(fā)結(jié)石患者復(fù)發(fā)率為6.78%,前者的復(fù)發(fā)率明顯升高(P=0.004);結(jié)石直徑≥10 mm的患者復(fù)發(fā)率為21.65%,而結(jié)石直徑10 mm的患者復(fù)發(fā)率為12.85%,二者相比具有統(tǒng)計(jì)學(xué)意義(P=0.036),EST相較于開放或腹腔鏡膽總管探查更容易出現(xiàn)結(jié)石復(fù)發(fā)(P0.001),術(shù)后給予中藥治療相較于為治療組可以明顯降低膽總管結(jié)石的復(fù)發(fā)率。結(jié)論:高齡、有乳頭旁憩室、膽總管直徑≥10mm、多發(fā)結(jié)石和行EST治療是膽總管結(jié)石復(fù)發(fā)的獨(dú)立危險(xiǎn)因素,而術(shù)后給予中藥治療可以明顯降低膽總管結(jié)石的復(fù)發(fā)。
[Abstract]:Objective: to analyze the risk factors of postoperative recurrence of choledocholithiasis.Methods: 385 patients with choledocholithiasis were selected from February 2009 to May 2012. The recurrence of choledocholithiasis was statistically analyzed from four aspects: general condition, biliary tract condition, stone condition and treatment.Results the recurrence rate of choledocholithiasis was 15.1in 385 cases of choledocholithiasis recurrence group (58 cases) and no recurrence group (327 cases).The recurrence rate of choledocholithiasis in patients aged 60 years was significantly higher than that in patients with parapillary diverticulum.The diameter of common bile duct 鈮，

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