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目的探讨胃癌术后胆囊结石发生的原因及治疗方法。方法选取济源市卫校附属医院2009年1月至2012年12月收治的180例胃癌手术患者,分析其临床诊疗资料,统计胃癌术后发生胆囊结石的原因及治疗方法。结果 180例胃癌术后患者中32例有胆囊结石症状,发病率为17.8%,产生时间为术后2~47个月,术后发生胆囊结石与患者胃切除方式、重建术式、是否有合并脏器切除存在明显相关性。结论胃癌术后出现胆囊结石与患者胃癌手术方式,特别是重建方法存在关系,与食物是否经十二指肠存在极大关系。
Objective To investigate the causes and treatment of gallbladder stones after operation of gastric cancer. Methods 180 cases of gastric cancer patients admitted from Jan. 2009 to Dec. 2012 in Jiyuan City Affiliated Hospital of Jiyuan City were selected to analyze their clinical diagnosis and treatment data, and to analyze the causes and treatment of cholecystolithiasis. Results Of the 180 cases of postoperative gastric cancer, 32 cases had gallstone symptoms, the incidence rate was 17.8%, the production time was 2 to 47 months after operation. Gallstones and patients underwent gastrectomy, reconstructive surgery and whether there was any merger There is a clear correlation between organ resection. Conclusions Gallstones after operation for gastric cancer have a relationship with the surgical methods of gastric cancer, especially the reconstruction method, and whether the food has a significant relationship with the duodenum.