在胆囊切除术后,在腹部留下的胆结石没有明显的持续症状
Åsa Edergren1, Gabriel Sandblom1, Henrik Renlund2
1Department of Clinical Science and Education Södersjukhuset, Karolinska Institute, Stockholm & Department of Surgery, Södersjukhuset, Sjukhusbacken 10, 11883, Stockholm, Sweden.
概括
在胆囊手术 (胆囊切除术) 期间泄漏的胆结石似乎不会导致长期的腹痛或炎症症状. 一个小的,非显著的趋势重复手术被观察到在患有溢出胆结石的患者.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 胆囊切除术期间的胆囊穿孔可能导致胆结石流入腹部.
- 腹腔镜胆囊切除术后保留胆结石的长期临床意义尚未得到充分确立.
研究的目的:
- 为了调查在胆囊切除术期间胆囊穿孔后保留的胆结石是否与患者的持续症状有关.
- 为了比较患有和没有怀疑腹内胆结石泄漏的患者之间的长期结果.
主要方法:
- 追溯匹配的队列研究,使用来自瑞典胆结石手术登记册的数据.
- 怀疑腹内胆结石泄漏的患者与没有泄漏的对照组相匹配.
- 验证了评估腹痛,炎症症状和疼痛后果的问卷对两组人都进行了管理.
主要成果:
- 总共有4269名患者有反应 (66%的反应率).
- 在四个症状领域 (腹痛,疼痛后果,胃肠道症状,重复手术) 中,研究和对照组之间没有发现显著差异.
- 在胆结石泄漏组 (7.1%与5.3%) 发现了较高的重复手术率的非显著趋势.
结论:
- 在胆囊穿孔后保留的腹内胆结石似乎不会引起显著的长期症状.
- 虽然存在趋势,但保留的胆结石与增加重复手术的需求并没有显著相关.
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