肝切除配合纤维胆道镜治疗肝胆结石的效果观察

Effect of Hepatectomy Combined with Fiberoptic choledochoscopy in Treatment of Hepatolithiasis

目的观察肝切除配合纤维胆道镜治疗肝胆结石的效果和并发症发生率。方法选取2017年1月至2018年12月平邑县人民医院胃肠外科收治的74例肝胆结石患者,以“随机单双号方式”分为两组,每组37例。对照组采取肝切除取石术治疗,研究组给予肝切除配合纤维胆道镜治疗。比较两组总有效率、手术并发症、结石残留率与复发率。结果研究组临床有效率97.30%高于对照组83.78%,组间比较差异有统计学意义(P<0.05);研究组并发症发生率2.70%低于对照组18.92%,组间比较差异有统计学意义(P<0.05);研究组结石残留率和复发率分别为0.00%、2.70%均低于对照组的13.51%、21.62%,组间比较差异有统计学意义(P<0.05)。结论给予肝胆结石患者肝切除配合纤维胆道镜治疗,临床有效率较高,手术并发症、结石残留率、以及手术复发率都比较低。

Objective To observe and study the effect and complication rate of hepatectomy combined with fiberoptic choledochoscopy in the treatment of hepatolithiasis.Methods In a specific time period(January 2017 to December 2018)to select 74 cases of patients with liver and gallbladder stones,in order to“random”.Results The clinical effective rate in the study group 97.30% was higher than that in the control group 83.78%,with a significant difference(P<0.05).The stone residual rate and recurrence rate 0.00%、2.70% in the study group were lower than those in the control group 13.51%、21.62%,with significant differences(P<0.05).Conclusion Hepatectomy combined with fiberoptic choledochoscopy for patients with hepatolithiasis is highly effective in clinic,and the rate of surgical complications,residual calculi and surgical recurrence is relatively low.