胆囊切除术后综合征临床相关因素分析与预防

Prevention and analysis of clinical correlatd factors in postcholecystectomy syndrome

目的探讨胆囊切除术后综合征(PCS)预防与临床因素的关系。方法对我院2000年1月～2009年1月收治的68例高度怀疑胆囊切除术后综合征患者的资料进行回顾性分析。结果经过CT、B超、胃镜、肝功能等查因分析,证实30例为PCS,主要与急性炎症期手术、术式选择不当、术前病程过长等因素相关;其余38例患者虽然出现PCS相同的症状,但与胆囊切除无关,不能诊断为PCS。结论 PCS的发生与临床因素密切相关,术者严格规范操作可以减少PCS发生;查因可有助于正确判断PCS。

Objective To investigate the clinical correlated factors and prevention for postcholecystectomy syndrome(PCS).Methods From January 2000 to January 2009,68 cases suspected with postcholecystectomy syndrome(PCS) were analyzed retrospectively.Results Via multiple examination analyzed,including CT,B ultrasound,gastroscope and liver functions,the 30 cases were confirmed as diagnosis of PCS.The occurred factors of PCS were related with operation in acute imflammatory stage,unsuitable choice of surgical procedure and too long preoperative medical history etc.In rest 38 cases,although the patients occurred similar symptoms,it was not related with cholecystectomy.Therefore,the PCS could not be diagnosed.Conclusions The occurence of PCS is closely correlated with clinical factors.A strict standardized operative technique would reduce the occurrence of PCS.Through searching cause of disease,it contributes to precise judgement of PCS.