胆囊结石行胆囊切除术的远期疗效观察

The Long Term Results of Cholecystectomies for Cholelithiasis

目的:评估胆囊结石行胆囊切除术的远期疗效。方法:回顾性分析本院1980年1月～1989年12月间540例单纯胆囊切除术的资料,并作随访。男148例,女392例,平均年龄50.2岁,其中60岁以上者128例(19.8)。结果:在527例术前有症状者中,术后症状完全消失者448例(85.0％),明显改善者72例(13.7％),仍有隐痛不适、饱胀者7例(1.3％)。术后2～17年发现胆道结石13例(2.4％),肝外胆管炎性狭窄1例。结直肠癌12例(2.2％)。切口疝8例(1.5％)。结论:从远期疗效看,胆囊切除术仍然是目前治疗胆囊结石的有效方法。胆囊切除术后大肠癌的发生率似有增加,应引起重视。

Objective: To evaluate the long term results of cholecystectomy. Methods: 540 cases of cholecystectomy from Jan. 1980 to Des. 1989 were studied retrospectively. 148 males, and 392 females, mean age 50.2. There were flutulence or vague epigastric discomfort in 190 cases, and biliary colic or intense pain at right upper quadrant in 337 cases, and 13 cases had no symptoms. Results: Among 527 cases with symptoms, symptoms disapeared after cholecystectomy in 448 cases, amelierat-ed in 72 cases, and there were still flutulence or epigastric discomfort in 7 cases. Incisional hernias were found in 8 cases, and bile duct stones were found in 13 cases from 2 to 17 years postoperation, one case inflamatory common duct narrowing was found, 12 colon and rectum cancers after the operations. Conclusion: Cholecystectomies are effective methods in treating cholelithiasis. Attention should be paid to the increased incidence of colon and rectum cancers years postoperation after cholecystectomy .