首页> 中文期刊> 《齐齐哈尔医学院学报》 >胆总管结石术后复发的相关危险因素分析

胆总管结石术后复发的相关危险因素分析

         

摘要

Objective To investigate the risk factors of postoperative recurrence of common bile duct stones.Methods Selected 153 cases in June 2011 to June 2015 in our hospital patients with common bile duct calculi surgery, the basic data of patients, including age, gender, number, stones size, preoperative indices such as lack of exercise , fat diet were retrospectively analyzed , and the factors associated with single factor and multiple factors Logistic analysis , observing bravery manager situation and influencing factors of postoperative recurrence.Results 53 patients underwent common bile duct stones , 35 patients were followed up for 2 years, the recurrence rate was 22.9%;Single factor analysis found that the number of stones , age of patients, the size of the stone, lack of exercise, eating greasy, and the family history of common bile duct stone disease recurrence after surgery (P<0.05);Multivariate logistic regression analysis showed that cholelithiasis family history , stone<8mm, stone≥10 pieces are independent factors for recurrence of common bile duct stones .Conclusions Cholelithiasis family history , stone <8mm, and stone≥10 pieces are high risk factors for recurrence of common bile duct stones .%目的:探讨影响胆总管结石术后复发的风险因素。方法选取153例于2011年6月至2015年6月期间在我院行胆总管结石术的患者,对患者的基本资料包括年龄、性别、结石数量、结石大小、术前运动缺乏、油腻饮食等指标进行回顾性分析,并对相关因素进行单因素及多因素Logistic分析,观察胆总管结石术后复发情况及影响因素。结果本组153例患者行胆总管结石术,治疗后经2年随访有35例,复发率22.9%;经单因素分析发现,结石数量、患者年龄、结石体积大小、缺乏运动、饮食油腻、胆管结石症家族病史与胆总管术后复发有关(P<0.05);多因素Logistic 回归分析发现有胆石症家族史、结石<8 mm、结石≥10枚是胆总管结石术后复发的独立因素。结论结石<8 mm,结石≥10枚及有胆石症家族史是胆总管结石术后复发的高风险因素。

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