56例胆结石行胆囊切除术患者胆汁反流指数（BRI）分析

摘要

Objective To observe damage of bile reflux for cases’gastric mucosa after gallstones caused cholecystectomy, analyze the relationship between cholecystectomy and bile reflux. Methods Selected 92 cases to diagnose bile reflux in gastroscope examination were the observation, 56 cases with the history of gallstones caused cholecystectomy were observation group, 36 cases without gallstones or cholecystectom were the control group, to analyzedate of the observation bile reflux index (bile reflux index BRI). Results In the observation group, 56 cases, 11 cases BRI<14 and 45 cases BRI>;in control group cases 36 cases, 26 cases BRI<14 and 10 casess BRI>14, to compare bile reflux index grade , there was significant difference in two groups (chisquareχ2=25.19, P<0.01). Conclusion Cases with gallstones caused cholecystectomy, bile reflux is more likely to occur, damage to the gastric mucosa is more serious.%目的：观察胆结石行胆囊切除术后胆汁反流对患者胃黏膜的损害,分析胆囊切除术与胆汁反流的关系。方法选取胃镜下诊断为胆汁反流患者92例为研究病例,观察组56例为胆结石行胆囊切除术后,对照组36例无胆结石及胆囊手术史,对研究病例的胆汁反流指数(bile reflux index, BRI)进行分析。结果观察组和对照组病例胆汁反流指数评分比较,观察组56例中,11例BRI<14,45例BRI>14；对照组36例中,26例BRI<14,10例BRI>14,差异有统计学意义(χ2=25.19, P<0.01)。结论胆囊切除术后患者,更容易发生胆汁反流,对胃黏膜的损害更严重。