摘要
目的:研究肝切除配合纤维胆道镜治疗肝胆结石的效果。方法:选择2008年1月-2015年12月本院收治的60例肝胆结石患者作为研究对象,根据随机数字表法,将患者分为两组,各30例。对照组应用纤维胆道镜取石,观察组在对照组治疗的基础上同时将病变肝部分切除,比较两组手术有效率、术后并发症、残石率及复发率等情况。结果:观察组手术有效率为93.33%,明显高于对照组的66.67%,差异有统计学意义(P<0.05);观察组术后并发症发生率为26.67%,对照组为36.67%,两组比较差异无统计学意义(P>0.05);观察组术后残石率为3.33%,明显低于对照组的20.00%,差异有统计学意义(P<0.05);观察组术后复发率为3.33%,明显低于对照组的50.00%,差异有统计学意义(P<0.05)。结论:肝切除配合纤维胆道镜治疗肝胆结石效果理想,安全可靠,可以明显提高手术有效率,不会增加术后并发症,并且可以降低术后残石率与复发率,值得推广应用。
Objective：To study the curative effect of hepatectomy combined with choledochofiberscope in treatment of hepatolithiasis.Method：60 patients with hepatolithiasis treated in our hospital from January 2008 to December 2015 were selected as subjects,according to the random number table method,the patients were divided into two groups,each of 30 cases.The control group was treated with choledochofiberscope,on the basis of the control group,the observation group was treated with partial hepatectomy,the operation efficiency, postoperative complications,residual stone rate and recurrence rate were compared between the two groups. Result：The effective rate of the observation group was 93.33%,significantly higher than 66.67% of the control group,the difference was statistically significant（P〈0.05）.The complication rate of observation group was 26.67%,the control group was 36.67%,and there was no significant difference between the two groups（P〉0.05）. The postoperative residual stone rate in the observation group was 3.33%,significantly lower than 20.00% of the control group,the difference was statistically significant（P〈0.05）.The postoperative recurrence rate of the observation group was 3.33%,significantly lower than 50.00% of the control group,the difference was statistically significant（P〈0.05）.Conclusion：Liver resection combined with ideal choledochoscope in the treatment of hepatobiliary calculi is safe and reliable,can significantly improve the operation efficiency,will not increase the postoperative complications,and can reduce the postoperative residual stone rate and the recurrence rate,it is worthy of popularization and application.
出处
《中国医学创新》
CAS
2016年第33期110-112,共3页
Medical Innovation of China
关键词
肝胆结石
肝切除
纤维胆道镜
Hepatolithiasis
Hepatectomy
Choledochofiberscope
