影响腹腔镜手术治疗胆囊结石合并胆总管结石临床效果的相关因素分析

Analysis of related factors influencing the clinical effect of laparoscopic operation in the treatment of gallstones complicating by choledoehollthiasis

目的探讨腹腔镜手术治疗胆囊结石合并胆总管结石临床效果的相关影响因素。方法回顾性分析2011年9月至2015年9月于本院进行腹腔镜手术治疗胆囊结石合并胆总管结石的152例患者的临床资料，分别采用单因素分析和Logistic回归模型分析影响术后复发的相关因素。结果152例患者中有27例术后复发，125例未复发；发现年龄、结石数量、胆总管直径、结石最大直径、总胆红素异常、结石残留、黄疸史及术后并发症与胆囊结石合并胆总管结石术后复发有关。结论腹腔镜手术治疗胆囊结石合并胆总管结石的影响因素众多，临床医生应根据患者的具体情况制定相应的措施，以降低手术发生率。

Objective To explore the related factors influencing the clinical effect of laparoscopic operation in the treatment of gallstones complicating by choledocholithiasis. Methods The clinical data of 152 cases of gallstones complicating by choledocholithiasis treated by laparoscopic surgery in our hospital from September 2011 to September 2015 were retrospectively analyzed. Analyzed the related factors influencing postoperative recurrence with single factor analysis and Logistic regression model analysis. Results There were 27 patients with postoperative recurrence and 125 patients without postoperative recurrence in 152 patients. And the age, the number of stones, the diameter of common bile duct, total bilirubin abnormality, residual stones, history of jaundice, and postoperative complications were related to the postoperative recurrence of patients with gallstones complicating by choledocholithiasis. Conclusion The influencing factors of laparoscopic surgery in the treatment of gallstones complicating by choledocholithiasis were so many, clinicians should develop appropriate measures based on the specific circumstances of the patients to reduce the incidence of surgery.