摘要
目的探讨胆道镜下肝胆管切开取石术与开腹高位胆管切开取石术治疗肝胆管结石的临床效果。方法将125例肝胆管结石患者根据手术方式不同分为两组,观察组76例,对照组49例。对照组采用常规开腹高位胆管切开取石术治疗,观察组采用胆道镜下肝胆管切口取石术治疗,两组患者均行T管引流术,对比两组术后结石残余率、复发率、并发症发生率及治疗效果。结果观察组术后结石残余率、复发率及术后并发症总发生率均低于对照组(P<0.05);观察组治疗优良率为93.42%,高于对照组的81.63%(P<0.05)。结论胆道镜下肝胆管切口取石术治疗肝胆管结石效果显著,可有效降低结石残余率及复发率,且术后并发症少,值得临床推广应用。
Objective To evaluate the curative effect of endoscopic hepaticotomy and percutanesus hepaticotomy in the treatment of hepatolithiasis. Methods One hundred and twenty five patients with hepatolithiasis in our hospital were divided into two groups according to surgical methods. Patients in the control group were given percutanesus hepaticotomy treatment while those in the observation group were treated with endoscopic hepaticotomy. The rate of residual stones,calculus recurrence rate,complications and curative effects were compared. Results Rate of residual stones,recurrence and complication rate after operation in the observation group were lower than those of the control group（ P〈0. 05）. The excellent and good rates in the observation group reached93. 42%,higher than 81. 63% in the control group（ P〈0. 05）. Conclusion Endoscopic hepaticotomy in the treatment of hepatolithiasis has significant clinical efficacy with lower recurrence rate of residual stones and complication rate and is clinically worthy.
出处
《白求恩医学杂志》
2015年第6期582-584,共3页
Journal of Bethune Medical Science
