摘要
目的:探讨门静脉高压症(Portal hypertension,PHT)合并胆石症的合理处理方式。方法:回顾分析2003年9月于2008年9月64例PHT合并胆石症患者不同方式手术治疗的结果。根据手术方式不同将64例患者分为三组。A组:仅行胆道手术(n=20);B组:在行PHT手术的同时行胆道手术(n=20);C组:在行PHT手术时对胆囊或胆道结石未作处理(n=24)。结果:死亡率A组10%,B组28.5%,C组4.3%。并发症:A组40%,B组70%,C组25%。结论:PHT合并胆石症无论仅行胆道手术或同期行PHT手术和胆道手术,手术死亡率和术后并发症均显著增加,尤以同期手术为明显。根据患者情况选择正确的手术方式,可有效降低手术风险。
Objective： To investigate the clinical treatment of Portal hypertension PHT combined chole-lithiasis. Methods：Retrospect and analyze 64 cases of PHT combined chole lithiasis clinical data with different surgical operation. According to different surgical operation to divide 64 cases in three group. A：only bile duct operation（n= 20） ;B： PHT combined chole lithiasis operation（n= 20） ;C：not operation to chole-lithiasis in operating PHT（n=24） . Results： mortality rate： A group 10%, B group 28. 5%, C group4. 3%; complications： A group 40%, B group 70%, C group25%. Conclusion：PHT combined chole-lithiasis whether only bile duct operation or while PHT operation and bile duct operation, operation mortality rate and complications after operation all remarkable increased, particularly while PHT operation and bile duct operation clearly. According to patient condition choose a correct operation, then effective reduce operation risk.
出处
《华西医学》
CAS
2009年第3期612-613,共2页
West China Medical Journal
关键词
门静脉高压症
胆石症
手术方式
portal hypertension
chole-lithiasis
operation pattern
