单纯性胆石症患者胆囊切除愈后临床研究

The clinical study of cholecystectomy prognosis in patients with simple cholelith disease

目的:探讨单纯性胆石症患者胆囊切除愈后临床观察。方法:1991年3月~2011年2月收治胆囊切除术后者3 000例,均行小切口胆囊切除术,其中323例继发胆总管结石做了胆总管取石术。术后随访观察预后。结果:所有患者围手术期恢复顺利。随访全部术后患者在1年,3年,5年,10年,23年5个时间段进行随访统计,大多数患者存在不同程度的疼痛、腹胀、腹泻、饮食变化、并发症。结论:单纯性胆石症患者行胆囊切除术,疗效欠佳,临床中有待进一步探讨。

Objective:To discuss the clinical observation of cholecystectomy prognosis in patients with simple cholelith disease. Methods:To admit 3000 cases of patients with cholecystectomy from March 1991 to February 2011.3000 patients underwent small incision cholecystectomy,among 323 cases of secondary common bile duct stones do common bile duct lithotomy operation. Postoperation follow up to observe the prognosis.Results: All patients perioperative recover smoothly. All patients with postoperative followed-up statistics 1 year,3 years,5 years,10 years,23 years this 5 time,most patients had different degree of pain, abdominal distension,diarrhea,dietary changes,complications.Conclusion:The patients with simple cholelith disease underwent cholecystectomy,clinical curative effect is poor,which need to be further discussed.