不同手术方式治疗肝内胆管结石的疗效观察

Curative effect observation of different operation modes on intrahepatic bile duct stone

目的探讨不同手术方式治疗肝内胆管结石的临床效果。方法将115例肝内胆管结石患者随机分成实验组55例与对照组60例,两组患者均采用胆总管切开取石,实验组在此基础上切除病变肝段。比较观察实验组与对照组患者术后结石残留的发生率。结果实验组结石残留的发生率为14.55%,对照组结石残留的发生率为61.67%,实验组结石残留率低于对照组,两组之间的差异有统计学意义(P<0.05)。结论切除病变肝段或肝叶可以改善肝内胆管结石的临床治疗效果。

Objective To investigate the clinical effect of different operation modes on intrahepatic bile duct stone. Meth- ods One hundred and fifteen cases of paitients with intrahepatic bile duct stone were randomly divided into the experimen tal group （n = 55） and control group （n = 60）, all patients were taken operation with lithotomy of common bile duct, patients in experimental group were taken lobectomy of hepatic lobes or hepatic segments on base of lithotomy of common bile duct, rate of residual stones were contrasted between experimental group and control group. Results The rate of residual stones was 14.55% in the experimental group and was 61.67% in control group, the rate of residual stones was lower in experi- mental group than that of control group, the difference was statistical significance （P 〈 0.05）. Conclusion Cuting lesions of liver segment or lobe can improve the clinical therapeutic effect on intrahepatic bile duct stone.