纤维胆道镜联合肝切除术对胆管结石取石率及预后的影响  

Impact of fiber choledochoscope joint hepatic resection acting on the bile duct calculi stone-free rate and prognosis

作　　者：刘炜[1] 曹胜华[1] 

机构地区：[1]湖北省宜昌市第一人民医院普通外科,湖北宜昌443000

出　　处：《中国医药科学》2013年第8期59-60,91,共3页China Medicine And Pharmacy

摘　　要：目的探讨纤维胆道镜联合肝切除术对胆管结石取石率及预后的影响。方法选取70例胆管结石患者,分为治疗组和对照组,分别采用纤维胆道镜联合肝切除术和肝切除术治疗,对两组取石率、残留率、复发率与二次手术率,以及基本治疗情况、并发症发生情况分别比较分析。结果治疗组一次取石成功率为95.0%,结石残留率为5.0%,复发率为7.5%,二次手术率为7.5%;对照组一次取石成功率为80.0%,结石残留率为20.0%,复发率为26.7%,二次手术率为23.3%;治疗组总优良率为92.5%,并发症发生率为7.5%;对照组总优良率为73.3%,并发症发生率为13.2%;治疗组整体效果更加显著(P<0.05)。结论纤维胆道镜联合肝切除术在胆管结石中取石率高,整体预后效果显著,值得临床推广。Objective To explore the impact of fiber choledochoscope joint hepatic resection acting on the bile duct calculi stone-free rate and prognosis. Methods 70 patients with bile duct stones were selected and divided into treatment group and control group,and cured by fiber choledochoscope joint hepatic resection and liver resection,then compared and analysed the stone-free rate,retention rate,recurrence rate and secondary surgery rate,as well as the situation of basic treatment,the incidence of complications of two groups respectively. Results The stonefree rate of the treatment group was 95.0%,and the calculi residual rate was 5.0%, the recurrence rate was 7.5%,the secondary surgery rate was 7.5%,the stone-free rate of the control group was 80.0%,and the calculi residual rate was 20.0%,the recurrence rate was26.7%,the secondary surgery rate was 23.3%.The excellent rate of the treatment group was 92.5%,and the rate of complications was 7.5%;the excellent rate of the control group was 73.3%,and the rate of complications was 13,2%; The effect of the treatment group was more significant as a whole（P 〈 0.05）. Conclusion Iber choledochoscope joint hepatic resection applied to the bile duct calculi has high stone-free rate, the overall prognosis effect is remarkable,the clinical should promote widely.

关 键 词：纤维胆道镜 肝切除术 胆管结石 取石率 预后 

分 类 号：R657.3[医药卫生—外科学]