中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
12期
37-38
,共2页
肝胆管结石%胆道镜%肝胆管切开取石术%肝部分切除术
肝膽管結石%膽道鏡%肝膽管切開取石術%肝部分切除術
간담관결석%담도경%간담관절개취석술%간부분절제술
Hepatolithiasis%Choledochoscope%Hepatic duct incision calculus extraction%Partial hepatectomy
目的：探讨胆道镜下肝胆管切开取石术治疗肝胆管结石的优越性。方法回顾性分析110例肝胆管结石患者的临床资料，观察胆道镜下肝胆管切开取石术(观察组， n=62)和肝部分切除术(对照组， n=48)治疗肝胆管结石的临床疗效。结果观察组患者手术时间、术中出血量、术后下床活动时间均明显低于对照组(P<0.05)；观察组患者手术并发症发生率、结石残留率及复发率均显著低于对照组(P<0.05)。结论胆道镜下肝胆管切开取石术治疗肝胆管结石具有创伤小、恢复快、并发症少等优点，且结石残留率及复发率较低，具有较好的应用前景。
目的：探討膽道鏡下肝膽管切開取石術治療肝膽管結石的優越性。方法迴顧性分析110例肝膽管結石患者的臨床資料，觀察膽道鏡下肝膽管切開取石術(觀察組， n=62)和肝部分切除術(對照組， n=48)治療肝膽管結石的臨床療效。結果觀察組患者手術時間、術中齣血量、術後下床活動時間均明顯低于對照組(P<0.05)；觀察組患者手術併髮癥髮生率、結石殘留率及複髮率均顯著低于對照組(P<0.05)。結論膽道鏡下肝膽管切開取石術治療肝膽管結石具有創傷小、恢複快、併髮癥少等優點，且結石殘留率及複髮率較低，具有較好的應用前景。
목적：탐토담도경하간담관절개취석술치료간담관결석적우월성。방법회고성분석110례간담관결석환자적림상자료，관찰담도경하간담관절개취석술(관찰조， n=62)화간부분절제술(대조조， n=48)치료간담관결석적림상료효。결과관찰조환자수술시간、술중출혈량、술후하상활동시간균명현저우대조조(P<0.05)；관찰조환자수술병발증발생솔、결석잔류솔급복발솔균현저저우대조조(P<0.05)。결론담도경하간담관절개취석술치료간담관결석구유창상소、회복쾌、병발증소등우점，차결석잔류솔급복발솔교저，구유교호적응용전경。
Objective To investigate superiority of choledochoscopic hepatic duct incision calculus extraction in the treatment of hepatolithiasis.Methods Clinical data of 110 patients with hepatolithiasis were retrospectively analyzed. Clinical effects of choledochoscopic hepatic duct incision calculus extraction (observation group, n=62) and partial hepatectomy (control group, n=48) in treating hepatolithiasis were observed.Results The observation group had much lower operation time, intraoperative bleeding volume, and postoperative activity time than the control group (P<0.05). Incidence of complications, calculus residual rate, and relapse rate in the observation group were also lower than the control group (P<0.05).Conclusion Choledochoscopic hepatic duct incision calculus extraction has the advantages of small invasion, quick recovery, and few complications. It also has low calculus residual rate and relapse rate with good application prospect.
