肝叶切除术联合口服自拟四金汤在肝内胆管结石中的临床观察

Lobe Resection Combined Oral from Sihintang Clinical Observation in the Intrahepatic Bile Duct Stones

目的观察肝叶切除术联合口服自拟四金汤在肝内胆管结石中的临床疗效。方法将本院2014年7月至2016年6月在普外科就诊的60例肝内胆管结石患者作为研究对象,随机分成观察组和对照组,各30例,观察组给予肝叶切除术,术前术后给予自拟四金汤口服;对照组仅给予肝叶切除术,对比两组临床疗效和随访结果。结果观察组有效率为88.5%,复发率为8%,对照组有效率为67.88%,复发率25.36%;两组对比P<0.05,差异有统计学意义。结论肝叶切除术联合自拟四金汤口服治疗肝内胆管结石疗效优于对照组单纯肝叶切除术,值得推广应用。

Objective To observe lobe resection combined oral the clinical curative effect of the Sijintang in intrahepatic bile duct stones. Methods To our college in July 2014 to June 2016 in general surgery clinic of 60 patients with intrahepatic bile duct stones as the research object; randomly divided into observation group and control group, 30 cases each, observation group was given lobe resection, preoperative postoperatively from Sijintang oral; the control group only lobe resection. The results from two groups of clinical curative effect and follow-up were compared. Results Observation group effective rate was 88.5%, the recurrence rate was 88.5%, the control group effective rate was 67.88% and 25.36% respectively; compared the two groups（P〈0.05）, the difference was statistically significant. Conclusion Lobe resection combined from sijintang oral treatment of intrahepatic bile duct stones curative effect is better than that of control group pure lobe resection, and worthy of popularization and application.