胆囊切除术后胆囊残部综合征的临床观察

Clinical observation on gallbladder residual syndrome after cholecystectomy

目的：探讨胆囊切除术后胆囊残部综合征发生的相关因素。方法：对68例胆石症行手术治疗患者随机分为两组,行腹腔镜胆囊切除术（A组）34例,经腹胆囊切除术（B组）34例,对两组术后出现胆囊残部综合征的患者及未出现胆囊残部综合征的患者的临床资料进行分析。结果：两组中共出现胆囊残部综合征9例,A组5例（14.7%）,B组4例（11.8%）。均发生在术后14年。两组的术式和发生高胆固醇的比例有一定差异。结论：胆囊切除不完全,高胆固醇可能是胆囊切除术后胆囊残部综合征发生的危险因素。

Objective： To investigate the relevant factors of residual syndrome after cholecystectomy.Methods： Data of 68 patients with cholelithiasis that underwent laparoscopic cholecystectomy（group A,34 cases） or laparotomy cholecystectomy（group B,34 cases） were analyzed and compared.Results： Residual gallbladder syndrome occurred in a total of 9 patients within 4 years,of which 5（14.7%） was in group A and 4（11.8%） was in group B.Differences in surgery approach and prevalence of high cholesterol wereobserved between the two groups. Conclusion. Gallbladder residual and high cholesterol might bethe risk factors of residual gallbladder syndrome.