不同手术治疗肝胆管结石的疗效分析

Curative effect analysis of different operative methods in the treatment of hepatolithiasis

目的:探讨不同手术治疗肝胆管结石的疗效.方法:选取新疆维吾尔自治区昌吉州奇台县中医医院2013-05/2015-02收治的80例肝胆管结石患者作为研究对象,依据随机数字方式分为对照组(n=40)和研究组(n=40).对照组采用传统手术进行治疗,研究组采用微创手术进行治疗.比较两组患者的临床疗效.结果:总有效率比较,研究组(90.0%)显著高于对照组(72.5%),差异具有统计学意义(P<0.05).治疗后,研究组各指标均优于对照组,差异具有统计学意义(P<0.05).结论:临床治疗肝胆管结石可将微创手术治疗方式作为首选方式之一,该方式疗效明显,可降低患者术后并发症发生率、疾病复发率、残石率,对患者生活质量有很好的改善作用.

AIM： To investigate the effects of different operative methods in the treatment of hepatolithiasis. METHODS： A total of 80 patients with hepatolithiasis admitted into Qitai Chinese Medicine Hospital of Changji of Xinjiang Uygur Autonomous Region from May 2013 to February 2015 were divided into the control group and research group. The control group was treated with conventional surgery,while the research group was treated with minimally invasive surgery. The curative effects of both groups were compared. RESULTS： The total effective rate of the research group（ 90. 0%） was significantly higher than that of the control group（ 72. 5%）,and there was statistically significant difference between the two groups（ P〈0. 05）. All the indexes in the research group were better than those of the control group,and there was statistically significant difference between the two groups（ P〈0.05）. CONCLUSION： As one of the preferred methods for treating hepatolithiasis,minimally invasive surgery has a significantly better effect,with lower postoperative complication rate,recurrence rate and stone residue rate,improvement on quality of life of the patients.