摘要
目的探讨胆道镜手术治疗肝胆管结石的疗效。方法将2012年7月—2013年7月入住该院肝胆外科的126例肝胆管结石患者随机分为A、B二组,A组采用胆道镜配合肝胆管切开手术治疗的方法,B组采用胆道镜配合肝部分切除术治疗的方法,比较二组患者的治疗效果、术中各项指标及术后并发症发生情况。结果 B组优良率为95.24%,A组为82.54%,B组结石取出率为92.06%,A组为82.54%,二组间差异有统计学意义(P<0.05);B组手术时间、术中出血量少于A组,差异有统计学意义(P<0.05);住院时间二组差异无统计学意义(P>0.05);B组术后感染、呕吐等并发症发生率明显低于A组,差异有统计学意义(P<0.05)。结论胆道镜配合肝部分切除术治疗肝胆管结石疗效显著,结石清除率高,创伤小,出血少,利于术后恢复,有积极的临床意义。
Objective To explore the effect of choledochoscope operation for hepatolithiasis .Methods A total of 126 cases of hepatolithiasis from July 2012 to July 2013 at department of hepatobiliary surgery in author＇s hospital were randomly divided into two groups .A group was treated with choledochoscopy coordi-nation methods open operation treatment of biliary duct .B group was used choledochoscope combined with partial liver resection treatment method .Therapeutic effect ,the indexes of operation and postoperative complication of two groups were compared .Results In B group ,the excellent and good rate was 95 .24% , 82 .54% in A group .The lithotomy of the B group was 92 .06% ,the lithotomy of the A group was 82 .54% ,the difference was statistically significant （P〈0 .05） .In B group ,operation time ,amount of bleeding were significantly lower than that in A group ,the difference was statistically significant （P〈0 .05） .＆amp;nbsp;No statistically significant difference between the two groups in the hospitalization time （P〉0 .05） .Infec-tion ,vomiting and other complications of the B group were significantly lower than those of the A group , the difference was statistically significant （P〈0 .05） .Conclusion Choledochoscopy combined with partial liver resection in treatment of hepatolithiasis treatment is significantly with a small trauma ,less bleeding .
出处
《中国煤炭工业医学杂志》
2014年第9期1399-1401,共3页
Chinese Journal of Coal Industry Medicine
