摘要
目的探讨进一步降低肝胆管结石术后残石率的方法。方法回顾性分析1994年1月￣2004年12月间经手术治疗肝胆管结石116例的临床资料。病例按收治时间先后分为两组:即1993年1月～1997年12月间的54例设为A组,1998年1月￣2004年12月的62例为B组。比较两组病例术后残石率并分析发生差异的可能原因。结果A组术后残石率为27.8%,B组仅为9.7%,两组差异有显著性(P=0.012)。结论重视术前、术中影像学检查对手术的指导,选择合理的手术方式,尤其是肝部分切除术的应用是减少肝胆管结石术后残余结石的重要措施。
Objective To summarize the clinical experience on reducing the rate of residual after surgical treatment of hepatolithiasis. Methods The clinical data of surgical treatment of 116 patients with hepatolithiasis from Jan 1993 to Dec 2004 was retrospectively analyzed. All patients were divided into two groups accosting to the hospitalizing time successively, ie, group A in 54 cases from Jan 1993 to Dec1997 and group B in 62 cases from Jan 1998 to Dec ,2004.The postoperative residual stones rate of intrahepatic bile duct were compared and possible reason of the difference were analysised in two group, Results The rate of postoperative residual stones were 27.8% and 9.70% in group A and B respectively,There was a significant difference between two groups （P=0.012）. Conclusions It is an importmant measures for reducing the postoperative residual stones rate of hepatolithiasis to pay attention to pre-and intraoperative image examination and to choose the reasonable surgical operation methods, especially application of partial hepatectomy.
出处
《海南医学》
CAS
2006年第12期28-29,共2页
Hainan Medical Journal
关键词
肝胆管结石
残余结石
外科手术
hepatolithiasis
residual stone
surgical
operation
