合并肝硬化门静脉高压症胆囊结石的外科处理

Surgical management of 17 cases of cholecystolithiasis combination with cirrhotic portal hypertension

目的探讨合并肝硬化门静脉高压病人胆囊结石外科处理方法。方法回顾性分析我院2001年7月-2006年7月17例肝硬化门静脉高压病人合并胆囊结石并行胆囊切除术的临床资料。结果肝硬化门静脉高压合并胆囊结石者较同期无肝硬化者手术出血量增加。围手术期危险性显著增高。结论肝硬化门静脉高压是胆囊切除术围手术期高风险的主要原因。正确掌握手术适应证，规范手术操作是提高围手术期安全性的关键。

Objective To investigate the methods of surgical management in patients with cholecystolithiasis combination with cirrhotic portal hypertension. Methods The clinical data of 17 cases of cholecystolithiasis combination with protal hypertension undergoing cholecystectomy were retrospectively analyzed, Results In Patients with cholecystolithiasis combination with cirrhotic Portal hypertension, the bleeding volume during cholecystectomy was increased and the perioperative risk was increased significantly. Conclusion Cirrhotic portal hypertension was the main reason for high perioperative risk during cholecystectomy ,The appropriate choice of operable indication and standardization of surgical management are the keys to increase perioperative security.