无症状胆囊结石处理的临床研究

目的　探讨无症状胆囊结石的临床处理原则。方法　将健康体检中发现的无临床症状胆囊结石 13 6例 ,前瞻性非随机分为 2组 :(1)预防胆囊切除组 66例 ;(2 )治疗性胆囊切除组 70例。比较两组间术后病理、并发症发生情况及手术难易程度有无差别。结果　两组间术后病理、并发症及手术难易程度均差异有显著 (P <0 .0 5～ 0 .0 2 5 )。结论　对无症状胆囊结石患者 ,应强调有选择地进行预防性胆囊切除 ,而不应一味地等到发生胆石症的一种或数种合并症后才进行手术治疗。

A clinical study of the treatment of asymptomatic cholecystolithiasis

Abstract:Objective:To investigate the clinical treatment principles of asymptomatic cholecystolithiasis. Methods:136 cases of asymptomatic cholecystolithiasis, found on health check-up, were randomly divided into two groups :(1) Preventive cholecystectomy group,66 cases;(2)therapeutic cholecystectomy group,70 cases. The data of postoperative pathologic examination, complications and degree of operative difficulty between the two groups were compared. Results:The postoperative pathologic examination, complications and degree of operative difficulty between the two groups were significantly different(P<0.05~0.025). Conclusions:Preventive cholecystectomy should be selectively implemented for asymptomatic cholecystolithiasis patients,and the performance of surgical treatment should not routinely be undertaken only after the occurrence of one or more complications of cholecystolithiasis.