胆总管取石术后结石复发危险因素的研究进展

李积强; 张桂信

doi:10.3969/j.issn.1001-5256.2023.01.036

胆总管取石术后结石复发危险因素的研究进展

DOI: 10.3969/j.issn.1001-5256.2023.01.036

李积强¹,
张桂信^{1, 2, ,}

1.
大连医科大学中西医结合学院，辽宁大连 116000
2.
大连医科大学附属第一医院普外三科，辽宁大连 116011

基金项目:

国家自然科学资金 (82174136);

辽宁省卫健委中医药临床重点专科能力建设项目(辽卫办 2019[169]) ( )

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：李积强负责查阅和收集相关文献及撰写论文；张桂信负责拟定写作思路、指导撰写文章并最终定稿。

详细信息

通信作者:
张桂信，zgx0109@126.com (ORCID: 0000-0002-6171-394X)

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出版历程
- 收稿日期: 2022-06-23
- 录用日期: 2022-09-01
- 出版日期: 2023-01-20

Research advances in the risk factors for recurrence of common bile duct stone after choledocholithotomy

Jiqiang LI¹,
Guixin ZHANG^{1, 2
, ,}

1.
Institute of Integrative Medicine, Dalian Medical University, Dalian, Liaoning 116000, China
2.
Third Department of General Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116011, China

Research funding:

National Natural Science Foundation of China (82174136);

Capacity building Project of Key Clinical Specialty of Traditional Chinese Medicine of Liaoning Provincial Health Commission(Liaoning Health Office 2019(169)) ( )

More Information

Corresponding author: ZHANG Guixin, zgx0109@126.com (ORCID: 0000-0002-6171-394X)

摘要

摘要: 胆石症是消化系统的常见病及多发病且随着生活水平改善发病率呈上升趋势，其中5%~15%的患者患有胆囊结石合并有胆总管结石。胆总管结石可引起急性胆管炎、胆源性胰腺炎等一系列严重的并发症。胆总管取石术是治疗胆总管结石的主要方法，但其术后仍存在较高的复发率。胆总管结石的复发严重影响患者生活并且加重患者的经济负担。本文通过查阅最新发表的相关临床研究，归纳了解剖学、结石相关、胆道及手术相关等多方面影响胆总管结石复发的因素，为胆总管结石治疗及预防结石复发提供参考。
- 胆石 /
- 危险因素 /
- 复发
Abstract: Cholelithiasis is a common and frequent disease of the digestive system, and its incidence rate tends to increase with the improvement of living standards. Patients suffering from both gallbladder stones and common bile duct stones account for 5%-15%. Choledocholithiasis can cause a series of serious complications such as acute cholangitis and biliary pancreatitis. Choledocholithotomy is the main method for the treatment of choledocholithiasis, but there is still a high recurrence rate after surgery. The recurrence of choledocholithiasis seriously affects the life of patients and increases their economic burden. With reference to the latest published clinical studies, this article summarizes the influencing factors for the recurrence of choledocholithiasis from the aspects of anatomical factors, stone-related factors, biliary factors, and surgical factors, so as to provide a reference for the treatment of choledocholithiasis and the prevention of its recurrence.
- Gallstones /
- Risk Factors /
- Recurrence

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