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不同手术方法治疗肝结核的疗效评价

Evaluation of Efficacy of Different Surgical Methods for the Treatment of Hepatic Tuberculosis
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摘要 目的评价不同手术方法治疗肝结核的疗效与安全性。方法 28例肝结核患者,根据入院顺序分为观察组与对照组,各14例,两组都给予抗结核常规药物治疗,同时对照组选择单纯病灶清除术,观察组选择不规则性肝部分切除术。结果观察组的总有效率(100.0%)高于对照组(78.6%),差异有统计学意义(t=5.3,P=0.001 2);两组术后并发症发生情况对比无明显差异(t=1.3,P=0.072)。结论不规则性肝部分切除术肝结核能提高治疗疗效,也有比较好的安全性。 Objective To evaluate the efficacy and safety of different surgical methods for the treatment of hepatic tuberculosis.Methods According to the order of admission,28 cases of patients with hepatic tuberculosis were divided into observation group and control group,14 cases in each group,two groups were given about conventional anti-tuberculosis treatment,meanwhile control group underwent simple focal cleaning surgery,observation group underwent irregular partial hepatectomy.Results The total effective rate of observation group(100.0%) was significantly higher than control group(78.6%)(t=5.3,P=0.001 2); The incidence of postoperative complications of two groups had no significant differences(t=1.3,P=0.072).Conclusion Irregular partial hepatectomy treating hepatic tuberculosis can improve the therapeutic effect,and also has better safety,which should be widely applied.
作者 张松旺
出处 《中国继续医学教育》 2016年第17期148-149,共2页 China Continuing Medical Education
关键词 肝结核 并发症 单纯病灶清除术 不规则性肝部分切除术 Hepatic tuberculosis Complication Simple debridement Irregular partial hepatectomy
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