复杂性肝胆管结石及狭窄的外科手术60例分析

Complexity bile duct stones and stenosis surgery:an analysis of 60 cases

目的分析总结我院普外科治疗的60例复杂性肝胆管结石及狭窄的疾病特点及外科手术治疗方式。方法随机将我院普外科2010～2011年手术治疗的60例复杂性肝胆管结石及狭窄的患者分为两组,A组手术方式为肝叶或肝段切除,B组手术方式选择非肝叶或肝段的切除,对比两组患者在手术疗效、术后并发症、术后残石及术后随访复发方面的差异。结果①A组患者的治疗效果明显优于B组,差异具有统计学意义(P<0.05)。②A组的术后残石发生率和复发率均明显小于B组,差异具有统计学(P<0.05)。③两组患者在术后并发症方面无统计学差异(P>0.05)。结论临床复杂性肝胆管结石及狭窄的外科手术方式的选择很重要,肝叶或肝段切除的方式相对有着明显的优势,可以积极地应用于实践。

Objective To analyse and summarize the disease characteristics and surgical treatment of 60 patients with complicated bile duct stones and stenosis,who are accepted by general department in our hospital. Methods Sixty patients in our hospital general surgery for surgery treatment from 2010 to 2011 were divided into two groups randomly, Group A received resection of hepatic or liver, group B received the resection of non-hepatic or non-liver, Compared the difference of two groups of patients with Curative effect, postoperative complications, , postoperative residual stone and recurrence rate. Results （1）The group A patients had better Curative effect than group B ,the difference is significant （P〈0.05）; （2）The postoperative recurrence rate and Residual stones rate of group A was significantly less than group B （P〈0.05）. （3）The postoperative complications rate had no significant difference （P〉0.05）. Conclusion The choice of surgical approach selection for complicated bile duct stones and stenosis patients is important ,resection of hepatic or liver has significant advantages, should be actively used in practice.