胆石症专题研究(Monographic Study of Cholelithiasis)

胆囊收缩功能低下的胆囊结石患者行取石保胆术后的随访分析:附69 例报告

Published at: 2015年第24卷第8期

王健 1 , 王青 1 , 莘玮 1 , 杨平 1 , 樊超 1 , 鲁建国 1
1 中国人民解放军第四军医大学唐都医院 普通外科,陕西 西安 710038
通讯作者 青 王 Email: wangqing@fmmu.edu.cn
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2015.08.008
基金:
陕西省科技统筹创新工程计划基金资助项目 2015KTCL03-05

摘要

目的:探讨胆囊收缩功能低下(超声测量法胆囊收缩率<30%)的胆囊结石患者行取石保胆术后胆囊收缩功能的改变情况,综合判断该手术对此类患者的疗效。方法:回顾性分析2009 年12 月—2015 年5 月在唐都医院普通外科行取石保胆术的69 例胆囊收缩功能低下胆囊结石患者临床及随访资料。结果:69 例患者均行腹腔镜辅助取石保胆术。术后随访1~4 年,1 例(1.4%)复发,其他效果均满意;69 例患者术后胆囊收缩率较术前明显升高[(42.48±8.70)% vs.(14.46±9.78)%];分组分析显示,不同数目、不同部位结石患者胆囊收缩率均较术前明显改善(均P<0.05)。结论:对于胆囊收缩功能低下的部分胆囊结石患者行取石保胆术可以获得较满意的效果。


Efficacy of gallbladder-preserving cholecystolithotomy for patients with gallstones and low functioning gallbladder: a report of 69 cases

Abstract

Objective: To observe the changes in gallbladder function in patients with gallstones and low functioning gallbladder (gallbladder contraction rate less than 30% measured by ultrasound) after gallbladder-preserving cholecystolithotomy, so as to comprehensively assess the efficacy of this procedure in such patients. Methods: The clinical data of 71 patients with gallstones and low functioning gallbladder undergoing gallbladderpreserving cholecystolithotomy in Department of General Surgery of Tangdu Hospital during December 2009 to May 2015 were retrospectively analyzed. Results: All the 69 patients underwent laparoscopy assisted minimally invasive gallbladder-preserving cholecystolithotomy. At postoperative follow-up conducted for one year to four years, the treatment results in all patients, excepted one case of recurrence, were satisfactory, and the postoperative gallbladder contraction rate of the 69 cases was significantly increased compared with preoperative level [(42.48±8.70) % vs. (14.46±9.78) %], and further grouping analysis also showed this effect regardless of the number or location of stones of the patients (all P<0.05). Conclusion: Gallbladder-preserving cholecystolithotomy can achieve satisfactory efficacy in patients with gallstone and low functioning gallbladder.


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引用

引用本文: 健 王, 青 王, 玮 莘, 平 杨, 超 樊, 建国 鲁. 胆囊收缩功能低下的胆囊结石患者行取石保胆术后的随访分析:附69 例报告[J]. 中国普通外科杂志, 2015, 24(8): 1097-1101.
Cite this article as: WANG Jian, WANG Qing, XIN Wei, YANG Ping, FAN Chao, LU Jianguo . Efficacy of gallbladder-preserving cholecystolithotomy for patients with gallstones and low functioning gallbladder: a report of 69 cases[J]. Chin J Gen Surg, 2015, 24(8): 1097-1101.