手术治疗肝胆管结石合并胆管狭窄的方法及临床疗效研究

Surgical Treatment Method for Hepatolithiasis Complicated with Biliary Stricture and Its Clinical Curative Effect

目的探讨手术治疗肝胆管结石合并胆管狭窄的方法及临床疗效。方法选取我院在2012年7月至2014年2月收治的66例肝胆管结石合并胆管狭窄患者,随机分为两组各33例。研究组患者采用肝叶或肝段手术切除的方式进行治疗,对照组采用非切除方式进行治疗,对两组的治疗效果进行对比。结果研究组的优良率为96.97%,显著高于对照组的75.76%(P<0.05)。研究组的结石残留率和复发率均显著低于对照组(P<0.05)。两组的不良反应发生率无统计学差异(P>0.05)。结论肝叶或肝段手术切除治疗肝胆管结石合并胆管狭窄患者具有显著的临床效果,能够明显减少结石残留及复发,具有重要的临床应用价值。

Objective To explore the method and clinical effect of surgical treatment for hepatolithiasis complicated with biliary stricture. Methods 66 cases of patients with hepatolithiasis complicated with biliary stricture admitted to our hospital from July 2012 to February 2014 were selected and randomly divided into two groups equally. The study group received surgical resection of hepatic lobe or hepatic segment,while the control group received surgical treatment without resection. The curative effects of two groups were compared.Results The excellent and good rate of surgery of study group was 96.97%,significantly higher than 75.76% of control group（P〈0.05）.The rate of residual stone and recurrence rate of study group were significantly lower than those of control group（P〈0.05）. No statistical difference was found between two groups in the incidence of adverse reactions（P〉0.05）. Conclusions Surgical resection of hepatic lobe or hepatic segment for the treatment of hepatolithiasis complicated with biliary stricture has significant curative effect,which can effectively reduce residual stone and recurrence,and has important clinical application value.