中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
23期
38-39
,共2页
肝内胆管结石%肝切除术%效果%相关因素
肝內膽管結石%肝切除術%效果%相關因素
간내담관결석%간절제술%효과%상관인소
Hepatolithiasis%Liver resection%Effect%Relevant factors
目的探讨肝内胆管结石肝切除术的治疗效果及其术后并发症的相关因素。方法回顾性分析了2007年6月至2012年6月入住我院的100例行肝内胆管结石肝切除术患者的临床资料,对该手术方式的临床治疗效果进行分析。然后根据术后是否发生并发症,分为并发症组与非并发症组,对引起并发症的危险因素进行分析。结果①本组100例患者均获得1年的随访,随访率100%。术后B超及T管造影观察结石残留率为12.0%(12/100),11例经T管胆道镜取石均获得痊愈(占11.0%),再发胆道感染3例(占3.0%),总体手术治疗优良者96例,治疗优良率96例,优良率为96.0%。②本组患者术后并发症发生率为34.0%,经Logistic回归分析,结果表明胆道手术史与手术时间是术后出现并发症的主要危险因素(P<0.05,P<0.01)。结论胆内胆管结石切除术后并发症发生的主要危险因素为胆道手术以及手术时间,应对这两个方面加以注意,提高手术技巧以及尽量缩短手术时间,最终降低或避免术后发生并发症。
目的探討肝內膽管結石肝切除術的治療效果及其術後併髮癥的相關因素。方法迴顧性分析瞭2007年6月至2012年6月入住我院的100例行肝內膽管結石肝切除術患者的臨床資料,對該手術方式的臨床治療效果進行分析。然後根據術後是否髮生併髮癥,分為併髮癥組與非併髮癥組,對引起併髮癥的危險因素進行分析。結果①本組100例患者均穫得1年的隨訪,隨訪率100%。術後B超及T管造影觀察結石殘留率為12.0%(12/100),11例經T管膽道鏡取石均穫得痊愈(佔11.0%),再髮膽道感染3例(佔3.0%),總體手術治療優良者96例,治療優良率96例,優良率為96.0%。②本組患者術後併髮癥髮生率為34.0%,經Logistic迴歸分析,結果錶明膽道手術史與手術時間是術後齣現併髮癥的主要危險因素(P<0.05,P<0.01)。結論膽內膽管結石切除術後併髮癥髮生的主要危險因素為膽道手術以及手術時間,應對這兩箇方麵加以註意,提高手術技巧以及儘量縮短手術時間,最終降低或避免術後髮生併髮癥。
목적탐토간내담관결석간절제술적치료효과급기술후병발증적상관인소。방법회고성분석료2007년6월지2012년6월입주아원적100례행간내담관결석간절제술환자적림상자료,대해수술방식적림상치료효과진행분석。연후근거술후시부발생병발증,분위병발증조여비병발증조,대인기병발증적위험인소진행분석。결과①본조100례환자균획득1년적수방,수방솔100%。술후B초급T관조영관찰결석잔류솔위12.0%(12/100),11례경T관담도경취석균획득전유(점11.0%),재발담도감염3례(점3.0%),총체수술치료우량자96례,치료우량솔96례,우량솔위96.0%。②본조환자술후병발증발생솔위34.0%,경Logistic회귀분석,결과표명담도수술사여수술시간시술후출현병발증적주요위험인소(P<0.05,P<0.01)。결론담내담관결석절제술후병발증발생적주요위험인소위담도수술이급수술시간,응대저량개방면가이주의,제고수술기교이급진량축단수술시간,최종강저혹피면술후발생병발증。
Objective To investigate the therapeutic effect and its related factors of postoperative complications of hepatolithiasis liver resection. Methods 100 cases of patients with intrahepatic bile duct stones liver resection to stay in our hospital were retrospectively analyzed from June 2007 to June 2012, the surgical approach of clinical treatment effect was analyzed. Whether based on postoperative complications, is divided into a complications set of non-complication group, the analysis of the risk factors that cause complications. Results ①The group of 100 patients have received one-year follow-up, follow-up rate of 100%. Postoperative B-and T-tube cholangiography observed residual stone rate was 12.0%(12/100), 11 cases of T-tube cholangioscopy stone were recovered (11.0%), recurrent biliary tract infection in 3 cases (3.0%), general surgery excellent 96 cases, the treatment excellent rate of 96 cases, good rate of 96.0%.②in this group of patients with postoperative complications was 34.0%Logistic regression analysis, the results show that biliary surgery and surgery time postoperative complications, risk factors (P<0.05, P<0.01). Conclusion The biliary bile duct stones resection major risk factors for biliary tract surgery, and surgery time, deal with these two aspects of attention, improve surgical techniques and try to shorten the operation time, and ultimately reduce or avoid postoperative complications postoperative complications occurred.