胆道结石再手术32例临床分析

Clinical Analysis of Re-Operations in 32 Patients with Cholelithiasis

目的对胆道结石再手术发生的原因、治疗方式及疗效进行临床分析,避免或减少胆道残留结石的发生并提高疗效。方法总结1996年以来本院外科各类胆道结石手术病人治疗后的再次胆道手术病例32例,从胆道结石手术后再手术的原因、处理方法及治疗效果等方面进行分析。结果32例均无手术并发症,23例随访5年,仅2例效果差。结论胆道再手术主要原因是胆管残留结石,胆道再手术以清除结石、纠正胆管狭窄和建立通畅引流为原则。

Objective To study features and causes of biliary duct re - operations and evaluate their therapeutic efficacy for avoiding its occurrence and decreasing its number. Methods 32eases of the clinical data of all de patients receiving bile duct re - operations in our hospital from 1996 were retrospectively analyed. Results 32 cases have no surgical operation complications,with 23 cases visit 5 years and only 2 cases are poor. Conclusions The main cause for re - operations is bile ston. The purpose of re - operations is to clean up stones, correct strictures and build pathway for bile flow.