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目的 探讨食管癌贲门癌术后近期胆囊结石形成的原因。方法 从 1993年 1月～1998年 1月随机选择本院行食管癌贲门癌根治的 32 0例为观察对象及非手术治疗的 35 0例作为对照组 ,进行动态临床观察。结果 手术组的胆囊容积术后较术前明显增大 ,与对照组相比有显著差异 (P <0 .0 1) ,术后近期胆囊结石发生率也明显高于对照组 (P <0 .0 1)。结论 食管癌贲门癌术后对胆囊结石形成有较大影响 ,同时尽可能采取有效措施减少这一情况的发生。
Objective To explore the causes of gallbladder stone formation in patients with esophageal and cardiac cancer. Methods From January 1993 to January 1998, 32 patients with esophageal and gastric cardia cancer were randomly selected as the observation group and 350 patients with non-surgical treatment as the control group. Dynamic clinical observation was performed. Results The gallbladder volume in the surgical group was significantly increased after surgery compared with that before operation (P < 0.01). The incidence of gallstones was also significantly higher in the postoperative period than in the control group (P <0. 0 1). Conclusion Esophageal and cardiac cancer surgery has a significant impact on the formation of gallstones, and as far as possible take effective measures to reduce the occurrence of this situation.