胆囊结石合并胆总管结石病人LC联合LCHTD术后结石复发情况及其影响因素分析

    Postoperative recurrence of gallstone complicated with common bile duct stones treated with LC combined with LCHTD and its influencing factors

    • 摘要: 目的:探讨胆囊结石合并胆总管结石病人采用腹腔镜胆囊切除术(LC)联合胆总管切开取石T管引流术(LCHTD)治疗后结石复发率及其影响因素。方法:回顾性分析采用LC+LCHTD治疗的319例胆囊结石合并胆总管结石病人的临床资料,观察术后1~5年内术后结石复发情况,并分析影响结石复发的危险因素。结果:术后1年累积复发14例(4.39%)、3年累积复发30例(9.40%)、5年累积复发47例(14.73%);非条件logistic回归分析结果显示,结石数目多发、采用碎石术、胆总管扩张、胆囊管扩张均为LC+LCHTD术后结石复发的独立危险因素(OR=1.721、1.582、1.404和1.381,P<0.05)。结论:碎石术、结石数目多发、胆总管扩张、胆囊管扩张是LC+LCHTD术后结石复发的独立危险因素。

       

      Abstract: Objective: To investigate the recurrence rate of gallstone complicated with common bile duct stones treated with laparoscopic cholecystectomy(LC) combined with T tube drainage(LCHTD),and its influencing factors.Methods: The clinical data of 319 gallstone complicated with common bile duct stones patients treated with LC combined with LCHTD were retrospectively analyzed.The recurrence rate of gallbladder stone after 1 to 5 years of operation was observed,and the risk factor of which was investigated.Results: The recurrence rates after 1,3 and 5 years of operation were 4.39%(14 cases),9.40%(30 cases)and 14.73% (47 cases),respectively.The results of non-conditional logistic regression analysis showed that the multiple stones,lithotripsy,common bile duct dilatation and gallbladder tube dilatation were the independent risk factors of postoperative recurrence of cholecystolithiasis after LC combined with LCHTD treatment(OR=1.721,1.582,1.404 and 1.381,respectively,P<0.05).Conclusions: The lithotripsy,multiple stone,dilatation of common bile duct and dilation of gallbladder tube are the independent risk factors of recurrence of cholecystolithiasis after LC combined with LCHTD treatment.

       

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