手术治疗肝胆管结石并胆管狭窄的临床效果

The Clinical Effect of Surgical Treatment on Hepatobiliary Duct stones and Biliary Duct Stenosis

目的探讨手术治疗肝胆管结石并胆管狭窄的治疗方法以及效果。方法从2015年4月至2019年4月在本院接受治疗的肝胆管结石并胆管狭窄的患者中选择96例作为研究对象,其中接受肝段切除术或肝部分切除术的患者共有36例,作为研究组,接受胆总管切开取石术的患者共有60例,作为对照组,对比两组手术疗效。结果经过相应的治疗,研究组治疗优良率达到了97.22%,明显高于对照组的90.00%,差异有统计学意义(P<0.05);研究组的术后复发率以及并发症发生率明显比对照组更低,均P<0.05。结论对肝胆管结石并胆管狭窄的患者实施肝段切除术或肝部分切除术能够更加有效地清除结石,减少结石残留,防止复发,减少并发症,促使患者更快更好地康复,是一种应用效果显著的手术方法。

Objective To investigate the method and effect of surgical treatment of hepatolithiasis complicated with bile duct stricture.Methods From April 2015 to April 2019,96 patients with hepatolithiasis complicated with bile duct stricture were selected as the subjects of the study,of which 36 patients underwent segmental hepatectomy or partial hepatectomy as the study group,a total of 60 patients underwent choledocholithotomy as control group,and the curative effects of the two groups were compared.Results The excellent and good rate of treatment in the study group was 97.22%,which was significantly higher than that in the control group(90.00%),the difference was statistically significant(P<0.05).The recurrence rate and the incidence of complications in the study group were significantly lower than those in the control group(P<0.05).Conclusion Segmental hepatectomy or partial hepatectomy can remove stones,reduce residual stones,prevent recurrence,reduce complications and promote faster and better recovery in patients with hepatolithiasis complicated with bile duct stricture.It is a kind of surgical method with remarkable application effect.