摘要
目的探讨胃癌术后胆囊结石发生的原因。方法1995至2006年间胃癌手术病例198例中36例(18.2%)发现胆囊结石,分析与胆囊结石发生有关的因素。结果全胃切除术、食物不通过十二指肠的重建术、联合脏器切除、围手术期输血的病人胆石发生率显著增高。多因素分析,无与胆囊结石发生有意义的相关因素,但相关性最大者为全胃切除、食物不通过十二指肠的重建术。结论全胃切除术、食物不通过十二指肠的重建、联合脏器切除及围手术期输血是术后胆石形成的可能因素。
Objective： To analyze the cause of cholelithiasis after radical gastrectomy. Methods： Cholelithiasis occured in 36 （ 18.2% ） of 198 patients who underwent radical gastrectomy during from 1995 to 2006 . The factors related to cholelithiasis was analyzed by multiple regression method. Results ： Cholelithiasis rate was significantly high in patients with total gastectomy, reconstuction without food going through duodenum, combined organ resection and peri-operation blood transfusion. In addition, there were no significant factors correlated with cholelithiasis by multiple regression analysis. But the most correlative factors was the operation pattern （total gastrectomy, reconstruction without food going through duodenum）. Conclusion： Cholelithiasis is most likely to occur in the patients with total gastrectomy, reconstruction without food going through duodenum, combined organ resection and peri-operation blood transfusion.
出处
《泰山医学院学报》
CAS
2008年第5期341-344,共4页
Journal of Taishan Medical College
