CAJ | 학술논문

目的：探讨二次胆道手术在肝胆管结石治疗中的使用价值。方法将我院普外科2010～2012年接收的需要进行二次治疗的80例肝胆管结石患者随机分为观察组（二次胆道手术）与参考组（药物治疗），各40例，对两组患者临床治疗效果、术后2年复发现象进行观察。结果两组患者治疗总有效率分别为87.5%、57.5%，两组比较差异有统计学意义（P＜0.05）；观察组2年内复发率显著低于参考组（P＜0.05）。结论需要接受二次治疗的肝胆管结石患者通过二次胆道手术治疗效果显著，复发率低。
목적：탐토이차담도수술재간담관결석치료중적사용개치。방법장아원보외과2010～2012년접수적수요진행이차치료적80례간담관결석환자수궤분위관찰조（이차담도수술）여삼고조（약물치료），각40례，대량조환자림상치료효과、술후2년복발현상진행관찰。결과량조환자치료총유효솔분별위87.5%、57.5%，량조비교차이유통계학의의（P＜0.05）；관찰조2년내복발솔현저저우삼고조（P＜0.05）。결론수요접수이차치료적간담관결석환자통과이차담도수술치료효과현저，복발솔저。
Objective To explore the application value of secondary operation of biliary tract in the treatment of hepatolithiasis. Methods 80 patients with hepatolithiasis who were admitted to the department of general surgery in our hospital from 2010 to 2013 and required to received secondary operation were randomly allocated to an observation group (secondary operation of biliary tract) and reference group (medication), with 40 in each group. Clinical efficacy and relapses in 2 years after the surgery in the two groups were observed. Results Total effective rate in the two groups was 87.5% and 57.5% respectively, and the differences were statistically significant (P < 0.05); 2-year relapse rate in the observation group was significantly lower than that in the reference group (P<0.05). Conclusion Secondary operation of biliary tract for patients with hepatolithiasis requiring secondary treatment has a significant effect and low relapse rate.