摘要
目的探讨肝胆管结石病规范化治疗的临床意义。方法行手术治疗的肝胆管结石病患者130例,根据治疗原则和手术方式分为规范化治疗组(71例)和传统方法治疗组对照组(59例)。比较两组患者间术后并发症(胆漏、出血和肝功能不全发生率)以及治疗效果(结石残留、结石复发和二次手术率)。结果规范化治疗组术后胆漏8例、出血5例、肝功能不全11例,对照组分别为6例、4例、10例,两组比较,差异无统计学意义(P >0.05)。治疗组患者结石残留10例、结石复发6例、二次手术13例,对照组为47例、30例、32例,两组比较差异有统计学意义(P <0.05)。结论规范化治疗在肝胆管结石病中具有较低的术后结石残留率、结石复发率和二次手术率,能够改善肝胆管结石病的治疗效果和预后。
Objective To investigate clinical significance of standardized treatment for hepatoli-thiasis. Methods A total of 130 patients received surgical treatment for hepatolithiasis. They were divid-ed into the standardized treatment group(71 cases)and control group(59 cases)according to the principle of treatment and surgical methods. Postoperative complications(bile leakage,bleed,and hypohepatia)and therapeutic effects(incidence of residual stone,recurrent stone,and the second operation)were compared between the groups. Results No differences in postoperative complications were noted between the two groups(P〉0. 05). The incidence rates of residual stone,recurrent stone,and the second operation of the observation group were lower than those of the control group(P〈0. 05). Conclusion Standardized treat-ment may decrease the incidence rates of residual stone,recurrent stone and the second operation,which improves the therapeutic effect and prognosis of hepatolithiasis.
作者
陈忠
王耀东
田毅峰
蒋骥霖
赖智德
CHEN Zhong WANG Yaodong TIAN Yifeng et al(Department of Hepatobiliary Surgery, Fujian Provincial Hospital, Clinical Medical Col- lege of Fujian Medical University, Fuzhou 350001, China)
出处
《临床外科杂志》
2016年第10期753-755,共3页
Journal of Clinical Surgery
关键词
肝胆管结石病
规范化治疗
外科治疗
hepatolithiasis
standardized treatment
surgical treatment