摘要
目的:分析胆总管结石微创切开取石术后患者结石复发的影响因素。方法:选取2020年1月至2021年1月该院收治的100例胆总管结石患者进行横断面研究,所有患者均接受胆总管结石微创切开取石术治疗,术后随访2年,根据结石是否复发分为复发组(n=32)和未复发组(n=68)。收集患者一般资料,并采用Logistic回归分析胆总管结石微创切开取石术后患者结石复发的影响因素。结果:术后随访2年,100例胆总管结石微创切开取石术后患者复发32例,占32.00%,设为复发组,未复发68例,占68.00%,设为未复发组;单因素分析结果显示,两组性别、体质量指数、血清胆固醇、机械碎石、结石直径及内镜括约肌切开术后胆囊切除情况比较,差异均无统计学意义(P>0.05);发生组年龄>60岁、病程≥7 d、有胆道手术史、多发结石、十二指肠乳头旁憩室、胆道感染及胆总管夹角<45°的患者占比均高于未发生组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄>60岁、有胆道手术史、多发结石、十二指肠乳头旁憩室、胆道感染及胆总管夹角<45°等均为影响胆总管结石微创切开取石术后患者结石复发的危险因素(OR>1,P<0.05)。结论:年龄>60岁、有胆道手术史、多发结石、十二指肠乳头旁憩室、胆道感染及胆总管夹角<45°等均为影响胆总管结石微创切开取石术后患者结石复发的危险因素。
Objective:To analyze influencing factors of recurrence in patients with common bile duct stones after minimally invasive lithotomy.Methods:A cross-sectional study was conducted on 100 patients with common bile duct stones admitted to this hospital from January 2020 to January 2021.All patients were treated with minimally invasive lithotomy.These patients were followed up for 2 years.Then,these patients were divided into recurrence group(n=32)and non-recurrence group(n=68)according to whether the stones recurred or not.The general data of these patients were collected.Logistic regression was used to analyze the influencing factors of recurrence in these patients after minimally invasive lithotomy.Results:After 2 years of follow-up,there were 32 cases of recurrence in the 100 patients with common bile duct stones after minimally invasive lithotomy,accounting for 32.00%,which was set as the recurrence group,and 68 cases without recurrence(accounting for 68.00%)were set as the non-recurrence group.Univariate analysis showed that there were no significant differences in gender,body mass index,serum cholesterol,mechanical lithotripsy,stone diameter and cholecystectomy after endoscopic sphincterotomy between the two groups(P>0.05).The proportions of the patients with age>60 years old,course of disease≥7 d,history of biliary tract surgery,multiple stones,duodenal papillary diverticulum,biliary tract infection and common bile duct angle<45°in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age>60 years old,history of biliary tract surgery,multiple stones,duodenal papillary diverticulum,biliary tract infection and common bile duct angle<45°were all risk factors for the recurrence in the patients with common bile duct stones after minimally invasive lithotomy.Conclusions:Age>60 years old,history of biliary tract surgery,multiple stones,duodenal papillary diverticulum,biliary tract infection and common bile duct angle<45°are the risk factors for the recurrence in the patients with common bile duct stones after minimally invasive lithotomy.
作者
李海伟
LI Haiwei(Department of Hepatobiliary Surgery of Sanmenxia Central Hospital,Sanmenxia 472000 Henan,China)
出处
《中国民康医学》
2024年第10期4-7,共4页
Medical Journal of Chinese People’s Health
关键词
胆总管结石
经内镜逆行胰胆管造影术
内镜括约肌切开术
术后
复发
Common bile duct stone
Endoscopic retrograde cholangiopancreatography
Endoscopic sphincterotomy
Postoperative
Recurrence
