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- Title
胆管空肠吻合术后肝胆管结石复发的危险因素.
- Authors
张明雄; 张小文
- Abstract
Objective To study the related risk factor of recurrence after the treatment of choledocho- jejunostomy in hepatolithiasis. Methods Retrospective analysis was performed on the clinical data of patients with hepatolithiasis who underwent biliary jejunostomy in the Second Affiliated Hospital of Kunming Medical University from June 2014 to June 2019.According to the criteria for recurrence of bile duct stones,the included patients were divided into the recurrence group and the non-recurrence group. Results A total of 77 patients with hepatolithiasis and undergoing the underwent choledochojejunostomy were included in this study,all of whom were followed up successfully,including 21 in the recurrence group and 56 in the non-recurrence group.Univariate analysis and multivariate analysis showed that stone size ≥10 mm,choledochal diameter < 20 mm,stone location,biliary inflammation,anastomotic anastomosis,no supporting tube,no biliary drainage and no hepatectomy were the risk factors for recurrence of hepatolithiasis after the biliary jejunectomy (P < 0.05). Conclusion Stone size ≥10 mm, choledochal diameter < 20 mm,stone location,biliary inflammation,anastomotic anastomosis,no supporting tube,no biliary drainage and no hepatectomy are the risk factors for the recurrence of hepatolithiasis after the biliary jejunectomy.
- Publication
Journal of Kunming Medical University / Kunming Yike Daxue Xuebao, 2021, Vol 42, Issue 9, p76
- ISSN
2095-610X
- Publication type
Article
- DOI
10.12259/j.issn.2095-610X.S20210937