胃切除术后胆囊结石中西辨证治疗临床研究

Clinical research of treating gastrectomy gallstone in the integrative medicine

目的:探讨胃切除术后胆囊结石的临床病例特征及治疗。方法:回顾性分析我院行胃切除术的患者68例,采用中医辨证分型治疗。结果:胃切除术后胆囊结石的发病率较正常人高。RouxenY式全胃切除高于毕Ⅰ、毕Ⅱ式胃切除。所有患者经治疗均病愈出院。结论:胃切除术伤及迷走神经肝胆支导致胆囊动力学发生改变,中医药辨证治疗胃切除术后胆囊结石疗效显著,且无副作用,值得临床推广应用。

Objective： To discuss clinical case characteristics and treating gallstones after gastrectomy. Methods： A review analysis of 68 cases of gastrectomy patients who with TCM syndrome type of treatment. Results： Gastrectomy higher than normal incidence of postoperative gallstone. RouxenY in the stomach to excise higher than I, II type after picasso stomacl~ to excise. All of the patients are discharged after treatment. Conclusion： The stomach injury and liver resection of the vagus nerve a cause gallbladder dynamics change, Differential treatment of TCM was effective in treating gallstones after gastrostomy, and no side effects, mid worthy of clinical application.