肝切除联合纤维胆道镜用于肝胆管结石治疗的临床疗效分析

Analysis of the Clinical Efficacy of Hepatectomy Combined with Choledochoscopy in the Treatment of Hepatolithiasis

目的:分析肝切除联合纤维胆道镜用于肝胆管结石治疗的临床疗效。方法:选取在本院接受手术治疗的肝胆管结石患者92例作为本次的研究对象,选取时间为2018年11月~2020年10月,应用随机数字表法分成对照组与观察组,每组46例,对照组接受传统肝切除手术治疗,观察组接受肝切除联合纤维胆道镜治疗;对比两组患者的临床疗效、并发症发生率、结石残留率、结石复发率、治疗满意度和生活质量评分。结果:观察组患者的治疗总有效率为97.83%,高于对照组的80.43%,P<0.05;观察组的并发症发生率(4.35%)低于对照组(21.74%),P<0.05;观察组患者的结石残留率、结石复发率明显低于对照组,P<0.05;观察组患者治疗满意度明显比对照组更高,P<0.05;观察组患者的SF-36生活质量各维度评分均优于对照组,对比差异显著,P<0.05。结论:肝胆管结石患者接受肝切除联合纤维胆道镜治疗,能够有效地清除结石,降低并发症发生和结石的复发,具有良好的临床治疗效果,患者有较高的满意度和生活质量。

Objective:To analyze the clinical efficacy of hepatectomy combined with fiber choledochoscope in the treatment of hepatolithiasis.Methods:92 patients with hepatolithiasis who underwent surgical treatment in our hospital from November 2018 to October 2020 were selected as the research objects.They were randomly divided into control group and an observation group,each with 46 patients,the control group received traditional hepatectomy and the observation group received hepatectomy combined with choledochoscopy;the clinical efficacy,complication rate,residual stone rate,and stone recurrence rate of the two groups were compared,treatment satisfaction and quality of life scores.Results:The total effective rate of treatment in the observation group was 97.83%,which was significantly higher than that in the control group(80.43%),P<0.05;the incidence of complications in the observation group(4.35%)was lower than that in the control group(21.74%),P<0.05;The stone residual rate and stone recurrence rate of the observation group both were lower than those of the control group,P<0.05;the observation group’s satisfaction with treatment was significantly higher than that of the control group,P<0.05;The SF-36 quality of life scores of the observation group were higher than those of the control group,P<0.05.Conclusion:Patients with hepatolithiasis who receive hepatectomy combined with fiber choledochoscopy can effectively remove the stones,reduce the occurrence of complications and the recurrence of stones,the clinical treatment effect is good,the patients have higher satisfaction and quality of life.