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胆囊切除术后综合症的病因与防治 被引量:13

Cause and Treatment of Cases with Postcholecystestomy Syndrome
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摘要 目的探讨胆囊切除术后综合征(PCS)的病因及防治措施。方法对2000年10月~2011年10月我院收治的32例因单纯胆囊切除术后发生PCS患者临床资料进行总结分析。结果 32例患者中,胆道自身因素占24例,胆外因素7例,精神因素1例,非手术治疗14例,再次手术治疗18例,所有病例均获得满意的治疗效果。结论 PCS病因复杂,重视术前的全面检查和术中探查是防止术后发生PCS的关键。治疗应根据不同病因选择合理的治疗方案,大部分病人症状持续需手术处理。 Objective To explore the causes and measures of prevention and cure cases with post-cholecystectomy (PCS). Methods Study the causes of disease and clinical treatment of 32 cases with PCS, these patients who underwent cholecystectomy from2000 January to 2011 January in our hospital were studied. Results 32 cases with PCS , there were 24 cases relating to biliary tract diseases there is a case of mental factors ,reoperation were performed in 18 cases. The results of treatment are satisfactory. Con- clusion PCS is a common complication after cholecystectomy. Detailed preoprative examination and imtraoperative exploration can reduce the rate of PCS. Accoreding to different causes , the right treatment plan should be selected , while reoperation is necessary for most cases.
作者 许正金
出处 《肝胆外科杂志》 2012年第3期193-195,共3页 Journal of Hepatobiliary Surgery
关键词 胆囊切除术 综合症 预防 cholecystecttomy syndrome prevention
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