中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2008年
12期
12-14
,共3页
胆结石%肝切除术
膽結石%肝切除術
담결석%간절제술
Cholelithiasis%Hepatectomy
目的 研究复发性肝内胆管结石的手术治疗方式及效果.方法 回顾性分析2004年1月至2006年12月手术治疗复发性肝内胆管结石的治疗方式及效果.163例中行肝部分切除86例(肝切除组),行非肝切除77例(非肝切除组).结果 肝切除组效果优良率为96.5%,术后残石率为5.8%,复发率为1.2%;非肝切除组分别为85.7%、15.6%及11.7%,两组比较差异均有统计学意义(P<0.05).结论 肝部分切除治疗肝内胆管结石效果优于非肝切除.
目的 研究複髮性肝內膽管結石的手術治療方式及效果.方法 迴顧性分析2004年1月至2006年12月手術治療複髮性肝內膽管結石的治療方式及效果.163例中行肝部分切除86例(肝切除組),行非肝切除77例(非肝切除組).結果 肝切除組效果優良率為96.5%,術後殘石率為5.8%,複髮率為1.2%;非肝切除組分彆為85.7%、15.6%及11.7%,兩組比較差異均有統計學意義(P<0.05).結論 肝部分切除治療肝內膽管結石效果優于非肝切除.
목적 연구복발성간내담관결석적수술치료방식급효과.방법 회고성분석2004년1월지2006년12월수술치료복발성간내담관결석적치료방식급효과.163례중행간부분절제86례(간절제조),행비간절제77례(비간절제조).결과 간절제조효과우량솔위96.5%,술후잔석솔위5.8%,복발솔위1.2%;비간절제조분별위85.7%、15.6%급11.7%,량조비교차이균유통계학의의(P<0.05).결론 간부분절제치료간내담관결석효과우우비간절제.
Objective To study the ways and effect of surgical treatment for recurrent hepatolithiasis. Methods The therapeutic patterns and the clinical effect were retrospectively analyzed for 163 patiens8 with recurrent hepatolithiasis from January 2004 to December 2006.The 86 patients were partical hepatectomy, the 77 patients were no hepatectomy. Results The excellent rate was 96.5%,the incidence of residual stone and recurrence was 5.8%and 1.2%respectively in partical hepatectomy-but 85.7%,15.6% and 11.7%in no hepatectomy. There were statistical significance between the partical hepatectomy and no hepatectomy(P<0.05).Conclusion The therapeutic effect of the partial hepatectomy is better than that of the nohepatectomy for the patients with gallstone.