腹腔镜胆囊切除术后消化道症状的分析.docVIP

精品论文 参考文献 腹腔镜胆囊切除术后消化道症状的分析 游勤建 袁发秀 宋平 　　（泸州市妇幼保健院（泸州市第二人民医院）外科 四川 泸州 646000） 　　【摘要】 目的:胆囊疾病除了引起胆绞痛，还可以引起消化系统的一系列症状。尽管大多数胆绞痛在胆囊切除术后可以消失，但消化不良症状仍然可能存在。本研究分析非特异性胃肠道症状患者在腹腔镜胆囊切除术(LC)后症状是否改善以及症状持续或加重的特点。方法：回顾性分析我院2013年～2015年80例接受了LC手术的胆囊结石或胆囊息肉患者，40例患者手术前有一个或多个消化道症状。15例患者术前有明确的胃炎病史，术后3个月内症状逐步减轻。其中10例患者术后满意度较低，术后消化道症状持续性加重，12～18个月后逐步获得改善。结论：详细询问病史和针对部分患者行胃十二指肠镜检查可以帮助预测LC术后消化道相关并发症持续和加重的风险。 　　【关键词】 胆囊切除术；腹腔镜；胃炎；胆囊术后综合征 　　【中图分类号】R573.3 【文献标识码】A 【文章编号】2095-1752（2016）23-0158-02 　　The analysis of the symptoms of digestive tract after laparoscopic cholecystectomy Youqinjian,Yuan Faxiu,Songping Luzhou Maternalamp;child Health Hospital(Luzhou Second Peoplersquo;s Hosipital) 　　【Abstract】Objective The gallbladder disease in addition to cause biliary colic, can also cause a series of symptoms of digestive system.Although most of biliary colic can disappear after cholecystectomy, but indigestion symptoms can still exist.This study analysis in patients with non-specific gastrointestinal symptoms after laparoscopic cholecystectomy (LC) symptoms is improved, and the characteristics of the symptoms or aggravating.Methods Retrospective analysis of 2013-2013, 80 cases accepted the LC surgery patients with gallstones or gallbladder polyps, 40 patients have one or more of the digestive tract symptom before surgery.There is a clear history of gastritis, 15 cases of patients with preoperative symptoms gradually ease within 3 months after surgery.Ten of the patients satisfactory rate is low, persistent increase postoperative gastrointestinal symptoms, gradually improve after 12 to 18 months.Conclusion Detailed history and for some patients with gastric and duodenal endoscopy can help predict LC postoperative gastrointestinal complications related to continue and increase risk. 　　胆囊结石的症状表现形式多样，从无症状到难以缓解的胆绞痛。腹痛、胆囊结石的刺激能够增加胃肠道症状，如消化不良、恶心、呕吐、厌油、腹泻等。绝大部分胆绞痛会在胆囊切除术后消失。然而,非特异性胃肠道症状缓解率则较低，不同患者术后表现形式也多种多样。腹腔镜胆囊切除术（LC）术前前医患沟通时,很多患者都想知道是否可以完全缓解他们术前的症状以及切除胆囊