不同肝切除术治疗肝胆管结石的临床疗效研究

Clinical Curative Effect of Hepatic Calculus with Different Hepatectomy

目的分析临床应用不同肝切除术治疗肝胆管结石的效果。方法对我院2009年3月至2011年3月收治的42例肝胆管结石患者,根据治疗方式分为治疗组26例和对照组16例,对照组采用常规开腹肝部分切除术以及T管引流术,治疗组采用腹腔镜微创治疗,比较两组手术时间、术中出血量、术后残石率、复发率及两组治疗的临床总有效率。结果治疗组手术时间、术中出血量、术后下床时间均明显低于对照组(P<0.05);治疗组的临床总有效率明显高于对照组,两组比较差异有统计学意义(P<0.05);治疗组结石复发、胆管感染、切口感染并发症的总发生率明显低于对照组(P<0.05)。结论腹腔镜微创治疗肝胆管结石具有创伤小、并发症少、恢复快、痛苦少等特点,值得临床推广。

Objective To analyse the clinical curative effect of hepatic calculus with different hepatectomy. Methods The clinical data of 42 patients who underwent hepatic calculus in our hospital from March 2009 to March 2011 were collected,and they were randomly divided into abdominal speculum treatment group（treatment group）in 26 cases and common partial hepatectomy treatment group（control group）in 16 cases.After treatment,the operation time,peri-operative bleeding,postoperative residual stone rate,recurrence rate and total effective rate were compared between two groups.Results The operation time,hemorrhage amount,get out of bed time of treatment group were lower than that of control group（P0.05）.The clinical effective rate of treatment group was higher than that of control group,there were significant differences between the two groups（P0.05）.The calculus palindromia,infection of biliary tract,infection of incisional wound rate of treatment group were lower than that of control group（P0.05）.Conclusion Abdominal speculum treatment for hepatic calculus is featured with little trauma,complication little,gnick recovery,little pain and so on,which is worth promotion in clinical practice.