摘要
目的:为了探究一种临床有效治疗肝内胆管结石的可靠方法,从而为肝内胆管结石的临床治疗及相关研究提供借鉴和参考的依据。方法:本文选取2010年12月-2013年12月笔者所在医院收治的肝内胆管结石患者为研究对象,根据患者实施手术治疗方法的不同,对患者进行分组,分为观察组和对照组,每组66例。分别实施肝叶切除术联合胆管整形修复术和胆总管切开取石术。观察并比较两组患者实施不同手术治疗后的临床整体治疗效果及术后残结石情况和胆道感染情况。结果:(1)观察组患者优良率水平显著高于对照组患者,差异有统计学意义(字2=7.1121,P=0.0077);(2)观察组患者术后残结石率和胆道感染发生率均明显低于对照组患者,差异均有统计学意义(字2=5.1969,P=0.0226;字2=4.7903,P=0.0286)。结论:在临床针对肝内胆管结石实施治疗的实践过程中,采用肝叶切除术联合胆管整形修复术治疗方法的临床效果显著,是临床治疗肝内胆管结石理想可靠选择。
Objective： To explore an effective and reliable method for clinical treatment of intrahepatic bile duct stones, so as to provide reference basis for the clinical treatment of intrahepatic bile duct stones and related research.Method： Patients with intrahepatie bile duct stones from December 2010 to December 2013 were chosen as the research objects.According to the differences of the surgical treatment methods, patients were divided into the obseryation group and the control group, and 66 cases in each group.They were taken with biliary liver resection surgery and reconstructive surgery choledocholithotomy.The clinical overall treatment effect of two groups, two groups of patients with different clinical implementation as well as residual stones after surgery and situation of biliary tract infections were observed and compared,Result： （1）The excellent rate between two groups, the level in the observation group was significantly higher than the level in the control group, and the difference between groups were with statistical significance （Х^2=7.1121, P=0.0077）.（2）The incidence rates of postoperative residual stones and biliary tract infection between two groups, the two indicators of the observation group were significantly lower than those of the control group, and the differences between groups were withstatlstwal slgmficance（Х^2=5.1969, P=0,0226 ; Х^2=4.7903, P=0.0286）.Conclusion： In clinical practice for the treatment of intrahepatic bile duct stones implementation, the clinical effectof liver resection combined with biliary reconstructive surgery treatment is significant, and it is the ideal choice for the clinical treatment of intrahepatic bile duct stones.
出处
《中外医学研究》
2015年第7期9-11,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
肝叶切除术
胆管整形修复术
肝内胆管结石
Hepatectomy
Biliary reconstructive surgery
Intrahepatic bile duct stones
