中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
14期
53-55
,共3页
肝胆管结石病%精准肝切除%非规则性肝切除%临床效果%结石清除率
肝膽管結石病%精準肝切除%非規則性肝切除%臨床效果%結石清除率
간담관결석병%정준간절제%비규칙성간절제%림상효과%결석청제솔
Hepatolithiasis%Precise hepatectomy%Irregular hepatectomy%Clinical effects%Stone clearance rate
目的：探讨精准肝切除术在肝胆管结石病中的临床应用价值。方法：选取2008年6月-2013年6月本院收治的128例肝内胆管结石病患者，采用前瞻性、非随机对照临床试验方法分为精准肝切除组（68例）和非规则性肝切除组（60例），比较两组患者的手术时间、术中出血量、术后并发症、住院时间、结石清除率和结石复发情况。结果：精准肝切除组术中出血量、ALT峰值、AST峰值、TBIL峰值及住院时间均优于非规则性肝切除组，精准肝切除组术后结石残留率、并发症发生率及复发率（8.8%、11.8%、5.9%）均明显低于非规则性肝切除组（21.7%、23.3%、16.7%），比较差异有统计学意义（P<0.05）。结论：精准肝切除治疗肝胆管结石病疗效确切，可缩短患者康复周期，降低术后结石残留率及并发症发生率，减少复发。
目的：探討精準肝切除術在肝膽管結石病中的臨床應用價值。方法：選取2008年6月-2013年6月本院收治的128例肝內膽管結石病患者，採用前瞻性、非隨機對照臨床試驗方法分為精準肝切除組（68例）和非規則性肝切除組（60例），比較兩組患者的手術時間、術中齣血量、術後併髮癥、住院時間、結石清除率和結石複髮情況。結果：精準肝切除組術中齣血量、ALT峰值、AST峰值、TBIL峰值及住院時間均優于非規則性肝切除組，精準肝切除組術後結石殘留率、併髮癥髮生率及複髮率（8.8%、11.8%、5.9%）均明顯低于非規則性肝切除組（21.7%、23.3%、16.7%），比較差異有統計學意義（P<0.05）。結論：精準肝切除治療肝膽管結石病療效確切，可縮短患者康複週期，降低術後結石殘留率及併髮癥髮生率，減少複髮。
목적：탐토정준간절제술재간담관결석병중적림상응용개치。방법：선취2008년6월-2013년6월본원수치적128례간내담관결석병환자，채용전첨성、비수궤대조림상시험방법분위정준간절제조（68례）화비규칙성간절제조（60례），비교량조환자적수술시간、술중출혈량、술후병발증、주원시간、결석청제솔화결석복발정황。결과：정준간절제조술중출혈량、ALT봉치、AST봉치、TBIL봉치급주원시간균우우비규칙성간절제조，정준간절제조술후결석잔류솔、병발증발생솔급복발솔（8.8%、11.8%、5.9%）균명현저우비규칙성간절제조（21.7%、23.3%、16.7%），비교차이유통계학의의（P<0.05）。결론：정준간절제치료간담관결석병료효학절，가축단환자강복주기，강저술후결석잔류솔급병발증발생솔，감소복발。
Objective:To explore the clinical value of precise hepatectomy in treatment of hepatolithiasis. Method:128 patients with hepatolithiasis admitted into this hospital from Jun.,2008 to Jun.,2013 who were recruited, and they were assigned into 2 groups in this prospective,non-randomized controlled clinical trial:precise hepatectomy group(n=68)and irregular hepatectomy group(n=60). The operative time,blood loss,postoperative complications, length of stay,stone clearance rate,and stones recurrence between both groups were compared. Result:The blood loss, ALT peak,AST peak,TBIL peak,and length of stay in precise hepatectomy group were better than those in irregular hepatectomy group. The stone residual rate,incidence of complications,and recurrence rate in precise hepatectomy group (8.8%,11.8%,5.9%)were lower than those in irregular hepatectomy group(21.7%,23.3%,16.7%). Conclusion:The precision hepatectomy for the treatment of hepatolithiasis has definite efficacy,and can shorten the patient rehabilitation period and reduce postoperative stone residual rate and incidence of complications,recurrence.
