胆石症合并肝硬化24例治疗体会

Treatment of 24 Cases of Patients with Cholelithiasis and Cirrhosis

目的探讨胆石症合并肝硬化的外科治疗方法。方法总结24例胆石症合并肝硬化外科治疗的病例。结果治愈20例,治愈率83.3%,好转4例,好转率16.7%,无死亡病例,发生并发症5例,发生率20.8%。结论胆石症合并肝硬化患者手术风险性较大,术前对肝功能评估及认真做好围手术期准备,术中个体化处理,对提高治愈率、降低并发症发生率至关重要。

Objective To explore the means of surgical therapy in patients with cholelithiasis and cirrhosis. Methods The clinical data of 24 patients with cholelithiasis and cirrhosis receiving operation were summarized. Results 20 cases were cured, cure rate was 83.3%, 4 cases were improved, improvement rate was 16.7%, and no died case. Complication 5 cases, complication incidence rate was 20.8%. Conclusion Operating to patients with cholelithiasis and cirrhosis have high risk.To elevate cure rate, cut down complication incidence rate, preoperative liver functional assessment, fine management of perioperative and individnalization management during operation are very important.