国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
16期
2389-2391
,共3页
郭国城%钟文毅%吴演清%吴伟兴
郭國城%鐘文毅%吳縯清%吳偉興
곽국성%종문의%오연청%오위흥
肝内外胆管结石%肝切除%术式
肝內外膽管結石%肝切除%術式
간내외담관결석%간절제%술식
Intra and extrahepatic bile duct stones%Liver resection%Operation method
目的 探讨肝叶切除术治疗肝内外胆管结石的疗效.方法 对44例肝内结石患者采取肝叶切除术+胆总管切开取石+T管引流术,另选取同期肝内结石患者40例采取单纯胆总管取石+T管引流术,比较两组的优良率、术中情况和术后情况等.结果 肝叶切除组近期疗效优良率86.36%,显著优于单纯胆总管切开取石组(67.5%)(P<0.05);肝叶切除组在手术时间(243.5±74.28) min、住院时间(14.75±2.41)d及术中出血量(251.3±87.21) ml等方面均次于单纯胆总管切开取石组,差异有显著性(P<0.05),但在远期疗效包括残石率(42.5%)、感染率(30%)和再手术率(2.5%)等方面有显著优势,差异有显著性(P<0.05).结论 肝叶切除术是治疗肝内胆管结石的根治性术式,远期疗效明显优于单纯胆总管切开取石术.
目的 探討肝葉切除術治療肝內外膽管結石的療效.方法 對44例肝內結石患者採取肝葉切除術+膽總管切開取石+T管引流術,另選取同期肝內結石患者40例採取單純膽總管取石+T管引流術,比較兩組的優良率、術中情況和術後情況等.結果 肝葉切除組近期療效優良率86.36%,顯著優于單純膽總管切開取石組(67.5%)(P<0.05);肝葉切除組在手術時間(243.5±74.28) min、住院時間(14.75±2.41)d及術中齣血量(251.3±87.21) ml等方麵均次于單純膽總管切開取石組,差異有顯著性(P<0.05),但在遠期療效包括殘石率(42.5%)、感染率(30%)和再手術率(2.5%)等方麵有顯著優勢,差異有顯著性(P<0.05).結論 肝葉切除術是治療肝內膽管結石的根治性術式,遠期療效明顯優于單純膽總管切開取石術.
목적 탐토간협절제술치료간내외담관결석적료효.방법 대44례간내결석환자채취간협절제술+담총관절개취석+T관인류술,령선취동기간내결석환자40례채취단순담총관취석+T관인류술,비교량조적우량솔、술중정황화술후정황등.결과 간협절제조근기료효우량솔86.36%,현저우우단순담총관절개취석조(67.5%)(P<0.05);간협절제조재수술시간(243.5±74.28) min、주원시간(14.75±2.41)d급술중출혈량(251.3±87.21) ml등방면균차우단순담총관절개취석조,차이유현저성(P<0.05),단재원기료효포괄잔석솔(42.5%)、감염솔(30%)화재수술솔(2.5%)등방면유현저우세,차이유현저성(P<0.05).결론 간협절제술시치료간내담관결석적근치성술식,원기료효명현우우단순담총관절개취석술.
Objective To discuss the surgical efficacy of liver lobes resection in patients with intra and extrahepatic bile duct stones.Methods 44 patients with hepatolithiasis were performed by the section of common bile duct and calculus remove,liver resection and drainage with T-tube,meanwhile,the procedure was performed for another 41 cases of hepatolithiasis with the section of common bile duct,calculus remove and drainage with T-tube.The efficacy,intraoperative and postoperative situation were compared between two groups.Results The rate of fine postoperative result in shortterm in the liver resection group was 86.36%,better than another group(67.5%) (P< 0.05).The liver resection group was significantly fewer than the common bile duct and calculus remove group in the operative time (243.5 ± 74.28)minutes,hospitalization stay (14.75 ± 2.41) days and intraoperative blood loss (251.3 ± 87.21) ml (P< 0.05),but it was significantly better than the second group in the rate of residual calculus(42.5%),cholangitis(30%),and second operation(2.5%) (P < 0.05).Conclusion Liver lobes resection is a radical procedure for patients with hepatolithiasis,and the curative effect in long-term was better than common bile duct and calculus remove.