标题：胆总管结石术后复发的相关因素分析

      作者：刘永国
    (重庆市急救医疗中心肝胆外科，重庆 400014)

      卷次： 2012年23卷8期

      【摘要】 目的 探讨胆总管结石术后复发的危险因素，为胆总管结石术后复发的防治提供参考。方法 对
190例胆总管结石手术患者的临床资料进行回顾性分析，对术后复发的相关危险因素进行Logistic回归分析，筛
选胆总管结石术后复发的相关危险因素。结果 本组190例胆总管结石患者行EST手术治疗后，经2～5年随访
有42例(22.1%)复发。单因素分析结果显示，年龄、结石数量、结石大小、胆石症家族史、缺乏运动、油腻饮食与术
后复发有关；多因素Logistic回归法分析表明，结石≥10枚、结石<8 mm、有胆石症家族史、油腻饮食是胆总管结
石术后复发的危险因素。结论 术前要对上述危险因素加以重点评估，在考虑手术的同时还要考虑上述危险因
素，这样可以降低胆总管结石术后复发率。

      【关键词】 胆总管结石；结石复发；内镜十二指肠乳头括约肌切开术；危险因素

      【中图分类号】 R575.6+2 【文献标识码】 A 【文章编号】 1003—6350(2012)08—057—02<

br>Study on risk factors for the recurrence of cholecystolithiasis after surger.
LIU Yong-guo. Department of
Hepatobiliary Surgery, Emergency Medical Center of Chongqing City, Chongqing, 400014, CHINA

【Abstract】 Objective To investigate the risk factors for the recurrence of cholecystolithiasis after surgery,
and to provide reference for the prevention and treatment of patients with common bile duct stones. Methods The
clinical data of 190 patients with common bile duct stones were studied, and the risk factors for the recurrence of cho-
lecystolithiasis after surgery were analyzed by Logistic. Results After EST surgery, 42 of the 190 patients (22.1%) re-
lapsed during the follow-up of 2~5 years. Single-factor analysis showed that age, number of stones, size of stone, family
history of cholelithiasis, lack of exercise and fatty diet were correlated to the recurrence of cholecystolithiasis after sur-
gery. Multivariate logistic regression analysis showed that the stones≥10 pieces, stones<8 mm, a family history of cho-
lelithiasis and fatty diet were the risk factors of the recurrence of cholecystolithiasis after surgery. Conclusion The risk
factors listed above should be evaluated before surgery, taken into account simultaneously when considering the indica-
tions of surgery, so as to reduce the recurrence of cholecystolithiasis.

      【Key words】 Common bile duct stones; Recurrence of cholecystolithiasis; EST; Risk factors