胆囊切除术后综合征的病因与防治分析

Causes and Treatment of 38 Cases with Postcholecystectolmy Syndrome

目的 探讨胆囊切除术后综合征(PCS)的病因及防治措施。方法 对 2 0 0 1年 1月— 2 0 0 3年 1月间 41 2例胆囊切除术后发生PCS的 3 8例患者临床资料进行总结分析。结果 3 8例PCS患者中 ,胆道自身因素占 81 6%( 3 1 /3 8) ,胆外因素占1 8 4%( 7/3 8) ;非手术治疗 3例 ,再次手术治疗 3 5例 ,所有病例均获得满意的治疗效果。结论 PCS病因复杂 ,胆道残留结石是PCS的主要病因 ,重视术前的全面检查和术中探查是防止术后发生PCS的关键 ,应根据不同病因选择合理的治疗方案 。

Objective To summarize the causes and clinical treatment of 38 cases with post-cholecystectomy syndrome(PCS). Methods Study the causes of disease and clinical treatment of 38 cases with PCS, 392 patients who underwent cholecystectomy from 2001 January to 2003 January in our hospital were studied. Results 38 cases with PCS, there were 31 cases relating to biliary tract diseases, reoperation were performed in 35 cases. The results of treatment are satisfactory.Conclusion PCS is a common complication after cholecystectomy, the maior cause may be residual gallstones. Detailed preoperative examination and intraoperative exploration can reduce the rate of PCS. Accoreding to different causes, the right treatment plan should be selected, while reoperation is necessary for most cases.