Objective:To analyze the clinical Study of hepatectomy with choledochofiberscope in liver gallstones, and provide reference for clinical treatment.Methods:A total of 96 patients with liver and gall stone in hospital f...Objective:To analyze the clinical Study of hepatectomy with choledochofiberscope in liver gallstones, and provide reference for clinical treatment.Methods:A total of 96 patients with liver and gall stone in hospital from January 2013 to February 2016 were selected, patients were randomly divided into observation group and control group. All Patients were taken treatments of choledochofiberscope lithotripsy, observation group patients were given liver lesion resection, treatments of patients were compared.Results: The operation time of the observation group (3.0±0.6) h and intraoperative blood loss of min (386±169) mL and control group operation time (4.0±0.1) h and intraoperative blood loss of min (395±202) mL, show not significantly different. The effective rate (89.6%) in the observation group was significantly higher than that in the control group (66.7%). The postoperative complications included infection, cholangitis, biliary tract bleeding, two groups of patients with postoperative complication rate was not significantly different. The residual stone rate (6.3%) and recurrence rate (6.3%) in the observation group were significantly lower than those in the control group (22.9%) and the rate of recurrence (54.2%).Conclusion: Liver and gallbladder stones in the implementation of liver resection and fiber bile duct mirror treatment is clear, high security, with the use of value.展开更多
基金Natural Science Foundation of Hainan province(817382)Science and Technology Fund of Hainan Province(ZDXM2015082).
文摘Objective:To analyze the clinical Study of hepatectomy with choledochofiberscope in liver gallstones, and provide reference for clinical treatment.Methods:A total of 96 patients with liver and gall stone in hospital from January 2013 to February 2016 were selected, patients were randomly divided into observation group and control group. All Patients were taken treatments of choledochofiberscope lithotripsy, observation group patients were given liver lesion resection, treatments of patients were compared.Results: The operation time of the observation group (3.0±0.6) h and intraoperative blood loss of min (386±169) mL and control group operation time (4.0±0.1) h and intraoperative blood loss of min (395±202) mL, show not significantly different. The effective rate (89.6%) in the observation group was significantly higher than that in the control group (66.7%). The postoperative complications included infection, cholangitis, biliary tract bleeding, two groups of patients with postoperative complication rate was not significantly different. The residual stone rate (6.3%) and recurrence rate (6.3%) in the observation group were significantly lower than those in the control group (22.9%) and the rate of recurrence (54.2%).Conclusion: Liver and gallbladder stones in the implementation of liver resection and fiber bile duct mirror treatment is clear, high security, with the use of value.