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目的观察腹腔镜胆囊切除术(LC)治疗血吸虫病肝纤维化门静脉高压综合征(门脉高压症)合并胆囊结石的疗效。方法分析2006年6月-2013年6月采用LC治疗的196例血吸虫病肝纤维化门脉高压症合并胆囊结石患者的临床资料。结果本组血吸虫病肝纤维化门脉高压症合并慢性结石性胆囊炎154例,合并急性结石性胆囊炎42例,Child A级160例,B级36例。189例完成LC;7例中转开腹,其中腹腔、胆囊周围黏连及胆囊三角解剖不清3例,术中出血,镜下止血困难4例。196例全部治愈。结论 LC治疗血吸虫病肝纤维化门脉高压症合并胆囊结石疗效良好。
Objective To observe the effect of laparoscopic cholecystectomy (LC) in the treatment of schistosomiasis with portal hypertension (portal hypertension) and gallstone disease. Methods The clinical data of 196 patients with schistosomiasis hepatic fibrosis and portal hypertension complicated with gallstones treated by LC from June 2006 to June 2013 were analyzed. Results 154 patients with schistosomiasis hepatic fibrosis and portal hypertension with chronic stone cholecystitis, 42 patients with acute calculous cholecystitis, Child A grade 160 cases, B class 36 cases. 189 cases completed LC; 7 cases were converted to laparotomy, including abdominal cavity, gallbladder adhesions and gallbladder triangle anatomical unclear in 3 cases, intraoperative bleeding, microscopic hemostasis in 4 cases. 196 cases were completely cured. Conclusion LC treatment of schistosomiasis with liver fibrosis portal hypertension gallbladder stones with good effect.