胆总管结石术后复发的相关危险因素探讨

Risk Factors for Postoperative Recurrence of Common Bile Duct Stones

目的探讨胆总管结石术后复发的危险因素。方法收集我院接受胆总管结石术的患者,分为:研究组(发生胆总管结石术后复发)和对照组(胆总管结石术后未复发)。收集两组临床资料,主要项目有年龄、性别、BMI、手术史、治疗方式、胆总管直径、结石大小、结石数量等。对比两组一般资料及Logistic分析。结果 (1)研究组和对照组合并胆囊结石、合并壶腹部周围憩室、胆总管直径、乳头切口、胆总管结石直径、胆总管结石数量比较,差异有统计学意义(P<0.05)。(2)Logistic分析提示胆总管结石、壶腹周围憩室、胆总管直径为胆总管结石术后复发的危险因素。结论胆总管结石、壶腹周围憩室、胆总管直径可能是胆总管结石术后复发的危险因素。

Objective To investigate the risk factors of postoperative recurrence of common bile duct stones. Methods The patients in our hospital were divided into two groups： the study group（recurrence after common bile duct stones） and the control group（no recurrence after common bile duct stones）. Clinical data of two groups were collected, the main items were age, sex, BMI, operation history, treatment methods, the diameter of common bile duct, the size of stones, the number of stones, and so on. Comparison of two groups of general information and Logistic analysis. Results（1） The study group and the control group and the gallbladder stones, with periampullary diverticulum, common bile duct diameter, nipple incision of common bile duct stones, diameter, number of common bile duct stones had significant difference（P 〈 0.05）.（2） Logistic analysis showed that common bile duct stones, periampullary diverticulum, common bile duct diameter is a risk factor for recurrence of common bile duct stones after operation. Conclusion Common bile duct stones, periampullary diverticulum, bile duct diameter may be a risk factor for recurrence of common bile duct stones after operation.