胆总管结石复发危险因素研究进展

Advances in Risk Factors for Recurrence of Choledocholithiasis

胆总管结石是我国的一种常见良性疾病,可导致患者出现梗阻性黄疸、胆管炎、胰腺炎甚至胆管癌等并发症。目前胆总管结石的治疗方法主要包括内镜逆行胰胆管造影术和腹腔镜胆总管探查术,虽然结石清除率可高达95%,但其术后复发率约为4%~24%。本文就手术相关的因素、胆道解剖结构、结石的特质、性别年龄等方面对胆总管结石复发的危险因素进行深入探讨。

Choledocholithiasis is a common benign disease in China, which can lead to complications such as obstructive jaundice, cholangitis, pancreatitis and even cholangiocarcinoma. At present, the treatment of choledocholithiasis mainly includes endoscopic retrograde cholangiopancreatography and laparoscopic or open bile duct exploration. Although the stone clearance rate can be as high as 95%, the postoperative recurrence rate is about 4%~24%. This study makes an in-depth discussion on the risk factors of choledocholithiasis recurrence from the aspects of operation-related factors, biliary anatomical structure, characteristics of stones, sex and age, etc.