CAJ | 학술논문

目的：探讨对肝胆管结石并胆管狭窄的患者采用不同的手术方法及其临床效果。方法：选取2011年1月~2013年1月我院收治57例确诊为肝胆管结石并胆管狭窄患者的临床资料，根据手术方式的不同分为观察组与对照组，其中观察组33例，对照组24例，观察组采用肝叶或者肝段的切除术，对照组采取肝胆管切开取石结合放置T管引流，观察两组患者的临床效果。结果：观察组手术后ALT、AST、GGT、ALP等肝功能明显优于对照组术后，具有统计学意(P<0.05)；观察组术后结石残留例、复发例与对照组相比较低，具有统计学意义(P<0.05)。结论：对于肝胆管结石并胆管狭窄的患者，采用肝叶或肝段切除术进行治疗，其术后恢复效果较好，减轻了患者的病痛，提高了生活质量，值得在临床上推广使用。
목적：탐토대간담관결석병담관협착적환자채용불동적수술방법급기림상효과。방법：선취2011년1월~2013년1월아원수치57례학진위간담관결석병담관협착환자적림상자료，근거수술방식적불동분위관찰조여대조조，기중관찰조33례，대조조24례，관찰조채용간협혹자간단적절제술，대조조채취간담관절개취석결합방치T관인류，관찰량조환자적림상효과。결과：관찰조수술후ALT、AST、GGT、ALP등간공능명현우우대조조술후，구유통계학의(P<0.05)；관찰조술후결석잔류례、복발례여대조조상비교저，구유통계학의의(P<0.05)。결론：대우간담관결석병담관협착적환자，채용간협혹간단절제술진행치료，기술후회복효과교호，감경료환자적병통，제고료생활질량，치득재림상상추엄사용。
Objective:To investigate the clinical effects of different surgical methods on hepatolithiasis with bile ducts stenosis. Methods:We collected clinical data of 57 cases diagnosed as hepatolithiasis and bile duct stenosis in our hospital from January 2011 to January 2013. According to the surgical procedure all the cases were divided into observation group and control group,and 33 patients assigned into the control group and 24 into the observation group. Patients in the observation group were performed hepatolobectomy or segmental hepatectomy and patients in the control group were performed hepatic duct incision for stones combined T-tube drainage. The clinical effects were compared between the two groups. Results:The postoperative ALT,AST,GGT,ALP and other liver function index of the observation group were significantly improved than those of the control group (P<0.05).The postoperative residual stones and relapse patients in the observation group was statistically significant fewer than those in the control group (P<0.05). Conclusion:Hepatolobectomy and segmental hepatectomy were superior for clinical practice on the hepatolithiasis and bile ducts stenosis patients for better recovery, less pain and improved quality of life.