胃切除术式对术后并发胆囊结石的影响 |
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引用本文: | 王先海.胃切除术式对术后并发胆囊结石的影响[J].中国当代医药,2011,18(36):40-41. |
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作者姓名: | 王先海 |
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作者单位: | 湖北省公安县中医医院外2科,湖北公安,434300 |
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摘 要: | 目的:探讨胃切除手术方式及胃肠重建方式对术后并发胆囊结石的影响。方法:对316例胃切除术患者于术后随访2年,观察其术后并发胆囊结石的发病情况,并按照其胃切除术式及胃肠重建方式的不同进行分组分析。结果:①62例(19.62%)并发胆囊结石,发病率高于自然人群(10.00%,P〈0.05);②远端胃切除术后并发胆囊结石发病率(17.56%)明显低于近端胃切除术(35.14%)者,差异有统计学意义(P〈0.05);③各亚组之间比较,近端胃切除及食管残胃吻合术组术后并发胆囊结石发病率(36.00%)最高,而远端胃切除及行BillrothⅠ式吻合术组发病率(5.13%)最低;远端胃切除及行BillrothⅠ式吻合术组与各亚组之间的差异有高度统计学意义(P均〈0.01);其余各亚组之间比较差异无统计学意义(P均〉0.05)。结论:胃切除术后胆囊结石发病率增高,切除术式、及胃肠重建方式在胆囊结石发生机制中起重要作用。
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关 键 词: | 胃切除术 切除方式 胃肠重建 胆囊结石 |
Impact of gastrectomy on postoperative complicated gallstone |
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Authors: | WANG Xianhai |
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Institution: | WANG Xianhai Department of General Surgery,the Traditional Chiese Medicine Hospital of Gong’an County in Hubei Province,Gong’an 434300,China |
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Abstract: | Objective: To investigate me impact of gastrectomy and gastrointestinal reconstruction on postoperative complicated gallstone. Methods: Three hundred and sixteen cases of gastrectomy patients were followed up of 2 years after operation, the postoperative incidence of gallbladder calculus were observed; the patients were divided into groups and analyzed according the different ways of gastrectomy and gastrointestinal reconstruction. Results:①62 cases (19.62%) of concurrent gallbladder calculus, the incidences were higher than that of natural population (10.00%, P〈0.05); ②The incidences of gallstone after distal gastrectomy (17.56%) were significantly lower than that of the proximal gastrectomy(35.14%), difference was statistically significant (P〈0.05); ③Comparison between the various subgroups: The incidence of postoperative gallbladder calculus of proximal gastrectomy and residual gastric esophageal anastomosis group (36.00%) was the highest, the incidence of distal gastrectomy and Billroth I line type anastomosis group (5.13%) was the lowest; The differences of the incidence of distal gastrectomy and Billroth I line type anastomosis group between the various subgroups were highly statistically significant (all P〈0.01); The differences between the other subgroups were not statistically significant (P〉0.05). Conclusion: The incidence of gallbladder calculus after gastreetomy will increase, surgical resection and gastrointestinal reconstruction methods play an important role in the pathogenesis of gallbladder stones. |
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Keywords: | Gastrectomy Removal methods Gastrointestinal reconstruction Gallbladder calculus |
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