中国实用外科杂志2025，Vol.45Issue(11)：1238-1243,6.DOI:10.19538/j.cjps.issn1005-2208.2025.11.05
胆囊切除术后腹痛的临床诊断思维程序:基于病因剖析与思维导图
Clinical diagnostic thinking process for abdominal pain after cholecystectomy:based on etiological analysis and mind mapping
摘要
Abstract
Post-cholecystectomy abdominal pain(PCAP)is a common and intractable clinical problem.Its etiology is complex,involving organic and functional factors,which often leads to a complex diagnosis process and unsatisfactory treatment effect.Breaking through the traditional vague concept of"post-cholecystectomy syndrome",it should be regarded as a clinical problem requiring active exploration of specific etiologies,and a set of hierarchical and visual diagnostic mind maps should be constructed,the core of which is to comprehensively identify the main etiologies,such as sphincter of Oddi dysfunction(SOD),organic biliary tract diseases,postoperative digestive dysfunction and abdominal myofascial pain syndrome,start with the detailed medical history collection and early warning sign identification for risk stratification and pathway triage of patients,emphasize the standardized classification and management of SOD based on the Rome Criteria,avoid the invasive treatment for type ⅢSOD,and pay more attention to the overlap with irritable bowel syndrome(IBS)and functional dyspepsia(FD).关键词
胆囊切除术/腹痛/胆囊切除术后综合征/Oddi括约肌功能障碍/功能性胃肠病/肠易激综合征/功能性消化不良Key words
cholecystectomy/abdominal pain/post-cholecys-tectomy syndrome/sphincter of Oddi dysfunction/functional gastrointestinal disorders/irritable bowel syndrome/functional dyspepsia分类
医药卫生引用本文复制引用
ZENG Yong-yi,TANG Yu-peng,HUANG Yao..胆囊切除术后腹痛的临床诊断思维程序:基于病因剖析与思维导图[J].中国实用外科杂志,2025,45(11):1238-1243,6.基金项目
国家自然科学基金项目(No.62275050) （No.62275050）
国家重点研发计划项目(No.2022YFC2407304) （No.2022YFC2407304）
福建省科技创新联合基金项目(No.2019Y9108) （No.2019Y9108）
福建省卫生健康委中青年科研重大基金项目(2021ZONZD013) National Natural Science Foundation of China(No.62275050) （2021ZONZD013）
National Key Research and Development Program of China(No.2022YFC2407304) （No.2022YFC2407304）
Fujian Provincial Science and Technology Innovation Joint Fund(No.2019Y9108) （No.2019Y9108）
Major Scientific Research Fund for Middle-aged and Young Scientists of the Fujian Provincial Health Commission(No.2021ZONZD013) （No.2021ZONZD013）
