“胆道术后综合征”88例临床分析

目的：探讨“胆道术后综合征”的预防和治疗。方法;对1990－1999年,被首诊“胆道术后综合征”88例,收住院研究其症状复发的原因,进行再次手术治疗后的效果及远效随访。结果：治愈75例,好转10例,治愈好转率为96．6％,死亡3例,1例死于胆肠吻合术后出血,胆瘘,2例死于双侧肝内胆管病变致肝功能衰竭。获随访79例,随访率为92．9％,随访结果属优组为74．7％,属良组为19．0％,死亡5例,其中3例死于恶性病变,2例死于急性梗阻性化脓性胆这炎。结论：应认真检测及诊断胆道术后症状复发的原因,并予以相应的治疗,争取胆道疾病经治后获愈。

Clinical analysis of 88 cases of "biliary postoperative syndrome"

Objective:To discuss the prevention and treatment of "biliary postoperative syndrome".Methods:In order to investigate the causes of symptomatic recurrence,the effeciveness of revision operations and the long-term follow-up results,88 cases diagnosed as"biliary poatoperative syndrome"in the out patient department during past decade(1990-1999)had admitted in our department.Results:75 cases cured and 10 cases improved.The total effective rate was 96.6%.3 cases died(1 case died of postoperative hemorrhage afeter chole-enterostomy and biliary fistula,2 cases died of hepatic failure owing to bilateral intrahepatic cholelithiasis).79 cases had been followed up.The follow-up rate was 92.9%.The results were excellent in 74.7% and satisfactory in 19.0%.5 cases died.The causes of death were malignanat lesions in 3 cases and acute obstructive purulent cholangitis in 2 cases.Conclusion:The causes of "recurrence"should be detected and diagnosed seriously.Appropriate treatment should be adopted in order to strive for post the rapeutic cure biliary diseases.