手术治疗复杂性肝内胆管结石的临床分析  

The Clinical Analysis of Surgical in the Treatment of the Complex Intrahepatic Bile Duct Stones

作　　者：柏宇 石刚[2] 姜杰林 杨文斌 余路遥 

机构地区：[1]江油市903医院外二科,四川江油621700 [2]川北医学院附属医院肝胆外科,四川南充637000

出　　处：《现代生物医学进展》2014年第14期2711-2713,共3页Progress in Modern Biomedicine

摘　　要：目的:探讨规则性肝段/肝叶切除术治疗复杂性肝内胆管结石的临床疗效。方法:2009年6月至2013年6月期间,我们共同诊治的60例复杂性肝内胆管结石患者,随机将其分为对照组(非规则性肝段/肝叶切除术)和观察组(规则性肝段/肝叶切除术),每组各30例,对两组术中出血量,以及结石清除率、并发症、复发率,进行观察和比较。结果:与对照组相比,观察组术中出血量明显减少,结石清除率明显提高,并发症发生率和复发率显著降低(P<0.05),差异有统计学意义。结论:对于复杂性肝内胆管结石患者,规则性肝段/肝叶切除术治疗的疗效显著,明显提高患者的预后质量,值得临床推广。Objective： To study the clinical efficacy of regular liver segment/lobe resection for the complex intrahepatic bile duct stones. Methods： 60 patients with the complex intrahepatic bile duct stones in our hospital during the period from June 2009 to June 2013 were randomized into the control group（non-regular liver segment/lobe resection） and the observation group（regular liver segment/lobe resection）, 30 patients per group. The operative blood volume, stone clearance rate, complications and recurrence rate in the two groups were observed and compared. Results： Compared with the control group, the operative blood volume were significantly reduced, the stone clearance rate was obviously increased, the incidence of complications and the recurrence rate were significantly decreased（P 0.05）. Conclusion： For the patients with the complex intrahepatic bile duct stones, the regular liver segment/lobe resection has the significant efficacy, can improve the patients prognosis quality, and is worthy of clinical promotion.

关 键 词：规则性肝段 肝叶切除术 复杂性肝内胆管结石 复发 

分 类 号：R575[医药卫生—消化系统]