胆肠吻合术应用于肝胆管结石治疗的效果观察

Observation of effect of biliary enteric anastomosis used in the treatment of hepatolithiasis

目的:观察胆肠吻合术对肝胆管结石的治疗效果,探讨该方法的临床应用价值和意义。方法:2009年12月-2013年12月收治肝胆结石患者100例,随机分为试验组和对照组各50例。对照组接受T管引流术进行治疗,试验组则接受胆肠吻合术进行治疗,对比观察上述两组患者的临床治疗效果。结果:试验组中显效31例,有效16例,无效3例,其治疗总有效率94%;对照组中显效13例,有效25例,无效12例,治疗总有效率76%。试验组治疗效果好于对照组,差异有统计学意义(P<0.05)。结论:采用胆肠吻合术治疗肝胆管结石具有较好的治疗效果,该方法值得在临床上进一步推广和应用。

Objective:To observe the therapeutic effect of biliary enteric anastomosis of bile duct stones,and to explore the clinical value and significance of the method.Methods:100 patients with hepatic cholelithiasis were selected from December 2009 to December 2013.They were randomly divided into the experimental group and the control group with 50 cases in each.The control group were treated with T tube drainage,and the experimental group were treated with biliary enteric anastomosis.We compared the treatment effect of the two groups.Results:In the experimental group,31 cases were markedly effective;16 cases were effective;3 cases were ineffective;the total efficiency of treatment was 94%.In the control group,13 cases were markedly effective;25 cases were effective;12 cases were invalid;the total efficiency of treatment was 76%.The efficacy of the experimental group was better than the control group,and the difference was statistically significant(P<0.05).Conclusion:The biliary intestinal anastomosis in treatment of hepatolithiasis has good treatment effect.It is worthy of further promotion and application in clinical practice.