胆道再手术115例临床分析

Clinical analysis for 115 patients of biliary tract re-operation

目的探讨胆道再手术(BTRO)的发病原因及手术方式。方法对1992–2005年治疗的115例胆道再手术病例进行回顾性分析。结果胆道再生结石和残余结石是胆道再手术的主要原因(73.04﹪),内窥镜下乳头切开术(EST)对于肝外胆管结石效果良好。结论减少残余结石,合理选择手术方式,注重围手术期的处理是减少胆道再手术及并发症的关键。

Objective Investigate the reason and surgery method of biliary tract re-operalion（BTRO）. Methods Retrospeetive analyze clinic information of 115 BTRO patients in 1992-2005. Results The main reason of BTRO is regenented and residual slone in bile duet（73.04 % ）, using endoscopic sphineterotomy （EST） to treat extrahepatic bile duct stone has better result. Conclusions The key ot decreased BTRO and complication is deereused residual stone, selected surgery method well and care for management during perioperative period.