| 胃切除术后胆结石形成的分析及处理 |
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| 引用本文： | 王莎飞,黄维贤,戚清毅,岳建国,蔡茂庆. 胃切除术后胆结石形成的分析及处理[J]. 中国血液流变学杂志, 2008, 18(4) |
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| 作者姓名： | 王莎飞 黄维贤 戚清毅 岳建国 蔡茂庆 |
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| 作者单位： | 1. 江苏省吴江市第一人民医院普外科,江苏,苏州,215200
2. 苏州大学附属第四医院影像科,江苏,无锡,214062 |
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| 摘 要： | 目的 探讨胃切除术后并发胆道结石的可能形成机制及处理方法.方法 随访胃大部切除术后和胃癌根治术后存活至今的病例,回顾性分析术后胆结石的发病及处理情况.结果 胃大部切除术后患者52例,10例(19.2%)出现胆结石;胃癌根治术后患者36例,15例(41.7%)出现胆结石.两组胆结石发病率均显著高于自然人群的6.5%(P＜0.01).进行淋巴结清扫的胃癌根治术患者术后胆石症的发生率高于未清扫淋巴结的胃大部切除术患者(P＜0.05).微创手术处理胃切除术后胆结石患者术后第3d可出院,开腹手术处理后患者1周后出院.结论 胃切除术后胆结石发病率较高,胆道动力学改变在结石的发生中起着重要作用.微创手术处理胃切除术后胆石症具有优越性.
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| 关 键 词： | 胃大部切除术 胃癌根治术 胆石症 |
Clinical Analysis and Treatment of Cholelithiasis after Gastrectomy |
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| WANG Sha-fei,HUANG Wei-xian,QI Qing-yi,YUE Jian-guo,CAI Mao-qing. Clinical Analysis and Treatment of Cholelithiasis after Gastrectomy[J]. Chinese Journal of Hemorheology, 2008, 18(4) |
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| Authors: | WANG Sha-fei HUANG Wei-xian QI Qing-yi YUE Jian-guo CAI Mao-qing |
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| Affiliation: | WANG Sha-fei1,HUANG Wei-xian1,QI Qing-yi1,YUE Jian-guo2,CAI Mao-qing1(1.Dept of General Surgery,the First Hospital of Wujiang,Wujiang 215200,2.Detp of Radiology,the Fourth Affiliated Hospital of Soochow University,Wuxi 214062) |
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| Abstract: | Objective To analyse the possible causes of cholelithiasis after gastrectomy and to approach the preferable treatment.Methods Followinging up the patients who underwent gastrectomy and the gastric cancer patients who underwent radical gastrectomy.The incidence and the treatments of post-operation cholelithiasis were observed and compared respectively.Results A total of 52 patients with gastrectomy and 36 patients with radical gastrectomy were followed up.There are 10(19.2%) and 15(41.7%) patients developed ... |
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| Keywords: | gastrectomy radical gastrectomy cholelithiasis |
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