| 贺利平.胆囊结石合并胆总管结石术后患者复发情况及危险因素分析[J].实用中西医结合临床,2022,22(14): |
| 胆囊结石合并胆总管结石术后患者复发情况及危险因素分析 |
| Analysis of recurrence and risk factors in patients with cholecystolithiasis combined with choledocholithiasis after operation |
| 投稿时间：2022-07-15 修订日期：2022-07-26 |
| DOI： |
| 中文关键词: 胆囊结石 胆总管结石 复发 危险因素 |
| 英文关键词: Gallstone Choledocholithiasis Recurrence Risk factors Nursing intervention |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨胆囊结石合并胆总管结石(CBDS)术后患者复发情况及危险因素。方法 纳入114例2019年1月~2020年12月在本院行ECRP联合LC治疗的胆囊结石合并CBDS患者,回顾性分析其临床资料,根据所选患者ECRP联合LC术后随访1年内是否复发(REC)将其分为REC组(32例)和未REC组(82例)。回顾性统计胆囊结石合并CBDS术后患者REC情况,比较REC组和未REC组的临床资料,并分析胆囊结石合并CBDS术后患者REC的危险因素。结果 114例胆囊结石合并CBDS术后患者REC32例,发生率28.07%。胆囊结石合并CBDS术后患者REC的危险因素为胆道感染、胆道口括约肌切开、术者经验≤3年、胆道括约肌功能障碍(OR=4.170、4.047、3.568、3.367,P<0.05)。结论 胆囊结石合并CBDS术后患者REC的危险因素与胆道感染、胆道口括约肌切开、术者经验≤3年、胆道括约肌功能障碍密切相关,可据此针对性制定临床治疗及护理干预措施方案,以降低胆囊结石合并CBDS术后患者REC率。 |
| 英文摘要: |
| Objective To explore the recurrence (REC), risk factors and nursing intervention measures of patients with cholecystolithiasis combined with common bile duct stones after operation. Methods 114 patients with cholecystolithiasis complicated with choledocholithiasis who underwent ecrp combined with LC from January 2019 to December 2020 of the clinical data in our hospital were retrospectively analyzed. According to whether the selected patients relapsed within 1 year after ecrp combined with LC, they were divided into REC group (32) and non REC group (82). The REC of patients with cholecystolithiasis combined with choledocholithiasis after operation was analyzed retrospectively, and the clinical data of the REC group and the non REC group were compared. The risk factors of REC of patients with cholecystolithiasis combined with choledocholithiasis after operation were analyzed. Results among 114 cases of cholecystolithiasis complicated with choledocholithiasis, 32 cases recurred, with an incidence of 28.07%. The risk factors for REC of patients with cholecystolithiasis combined with choledocholithiasis after operation were biliary tract infection, sphincterotomy, biliary sphincter dysfunction, and operator experience ≤ 3 years (or=4.170, 4.047, 3.367, 3.568, p<0.05). Conclusion the risk factors of REC in patients with cholecystolithiasis combined with choledocholithiasis after operation are closely related to biliary tract infection, sphincterotomy of the mouth of the bile duct, dysfunction of the sphincter of the bile duct, and the experience of the operator ≤ 3 years. Based on this, clinical treatment and nursing intervention measures can be formulated to reduce the REC rate of patients with cholecystolithiasis combined with choledocholithiasis after operation. |
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