肝切除联合胆道镜治疗复杂肝胆管结石80例

Liver resection combined with choledochoscope in the treatment of 80 patients with complex intrahepatic biliary calculi

目的:探讨对复杂肝胆管结石患者进行肝切除联合胆道镜取石治疗的疗效。方法:收治复杂肝胆管结石患者80例,对其临床资料进行回顾性分析,分为两组。对照组30例,行肝切除后未行胆道镜取石;治疗组50例,术后联合使用胆道镜取石。对取得的数据使用χ2检验。结果:对照组与治疗组的术后结石复发率以及再次入院手术率分别为16.7%和4.0%、20.0%和6.0%。经χ2检查,差异有统计学意义(P<0.05)。结论:对于肝胆管结石进行肝切除联合胆道镜的治疗方法,在临床上确有效果。

Objective:To explore the effect of liver resection in the treatment of complex intrahepatic biliary calculi.Methods:80patients with complex intrahepatic biliary calculi were selected,we retrospectively analyzed the clinical datas of them.These patients were divided into two groups.30 cases of the control group were treated by hepatectomy without choledochoscope.50cases of the treatment group were treated by hepatectomy with choledochoscope.The data of the results used χ2test.Results:The Stone recurrence rate and readmission rate after operation of the control group and the treatment group were 16.7% and 4%,20%and 6% respectively.Their comparison used χ2,there was significant difference in statistics(P<0.05).Conclusion:The effect of liver resection combined with choledochoscope to treat intrahepatic biliary calculi is affirmative.