胆道结石合并糖尿病56例外科治疗分析

Surgical tueatment of 56 patients with stone of biliary tract associated with diabetes.

目的探讨胆道结石合并糖尿病外科治疗措施。方法结合国内外文献，对我院56例胆道结石合并糖尿病病人的外科治疗做回顾性分析。结果56例病人行择期手术，空腹血糖控制范围7．00～10．00mmol/L，尿糖（-～＋）。术后并发症发生率：切感染13例（23．21％），肺部感染5例（8．92％），并发两处感染4例（7．14％）。无酮症性酸中毒、胆瘘及死亡病例。结论只要围手术期合理控制血糖及选择合理的术式，合并糖尿病的胆道结石是完全可以达到理想的外科治疗效果的。

Objective To explore the methods for surgical treatment stone of biliary tract Associated with diabetes. Methods 56 patients with stone of biliary tract associated with diabetes underwent surgical operations in our hospital were analyzed retrospectively according to domestic and overseas documentations. Results 56 patients to elective operations. Fasting blood - glucose concentration was controlled between 7. 00 - 10.00mmol/L, urineglucose between （ - - ＋ ）. The morbidity of postoperative complications： wound infetction in 13 cases （ 23.21% ） ,pneumonia in 5 cases（ 8.92 % ） ,infection of two with 4 cases（ 7. 14% ）. There were no postoperative diabetic ketoacidosis,anastomotic leak and operative death. Conclusion If the patients＇ blood - glucose concentration perioperatively could be well controlled and the method for surgical operations reasonably selected, the effect of surgical treatment on stone of biliary tract associated with diabetes would be very gratified.