中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
23期
15-16
,共2页
肝内胆管结石%肝叶切除术%临床价值
肝內膽管結石%肝葉切除術%臨床價值
간내담관결석%간협절제술%림상개치
Intrahepatic bile duct stones%Hepatectomy%Clinical value
目的 探讨肝叶切除手术治疗肝内胆管结石的临床效果. 方法 随机选取2011年9月至2014年2月肝内胆管结石患者90例,按照治疗方法的不同将其随机分为实验组和对照组,其中实验组患者行肝叶切除术,对照组患者采用胆肠吻合术进行治疗,对比两组患者的临床治疗效果. 结果 实验组临床手术效果和结石残留率均明显优于对照组(P<0.05),且两组患者术后并发症发生情况比较差异未见统计学意义(P>0.05). 结论 采用肝叶切除术治疗肝内胆管结石,疗效显著,能够有效地清除结石防止复发,安全可靠,建议在临床上进一步推广.
目的 探討肝葉切除手術治療肝內膽管結石的臨床效果. 方法 隨機選取2011年9月至2014年2月肝內膽管結石患者90例,按照治療方法的不同將其隨機分為實驗組和對照組,其中實驗組患者行肝葉切除術,對照組患者採用膽腸吻閤術進行治療,對比兩組患者的臨床治療效果. 結果 實驗組臨床手術效果和結石殘留率均明顯優于對照組(P<0.05),且兩組患者術後併髮癥髮生情況比較差異未見統計學意義(P>0.05). 結論 採用肝葉切除術治療肝內膽管結石,療效顯著,能夠有效地清除結石防止複髮,安全可靠,建議在臨床上進一步推廣.
목적 탐토간협절제수술치료간내담관결석적림상효과. 방법 수궤선취2011년9월지2014년2월간내담관결석환자90례,안조치료방법적불동장기수궤분위실험조화대조조,기중실험조환자행간협절제술,대조조환자채용담장문합술진행치료,대비량조환자적림상치료효과. 결과 실험조림상수술효과화결석잔류솔균명현우우대조조(P<0.05),차량조환자술후병발증발생정황비교차이미견통계학의의(P>0.05). 결론 채용간협절제술치료간내담관결석,료효현저,능구유효지청제결석방지복발,안전가고,건의재림상상진일보추엄.
Objective To investigate the clinical effect of hepatic resection on intrahepatic bile duct stones .Methods Randomly selected 90 patients with intrahepatic stones from September 2011 to February 2014 , and randomly divided them into experiment group and control group according to the dif-ferent treatment methods .The experiment group underwent liver resection , and the control group were treated with biliary-enteric anastomosis for treatment , the clinical effects of the two groups were com-pared .Results The clinical results of operations and residual stone rate of patients in the experiment group were significantly better than those in the control group ( P<0.05 );the incidence of postoperative complications between the two groups had no significant difference ( P>0.05 ) .Conclusions Hepatic resection of intrahepatic bile duct stones can effectively remove the stones , prevent recurrence , it is safe and reliable and therefore recommended to further promotion in clinical practice .
