胆道镜下肝胆管切开取石术和肝部分切除术治疗肝胆管结石的疗效对比  

Comparison of curative effects between choledochoscopic hepatic duct incision calculus extraction and partial hepatectomy in the treatment of hepatolithiasis

作　　者：吴任鸿 李佳勇 

机构地区：[1]广东省高州市妇幼保健院普外科,525200

出　　处：《中国实用医药》2015年第12期37-38,共2页China Practical Medicine

摘　　要：目的探讨胆道镜下肝胆管切开取石术治疗肝胆管结石的优越性。方法回顾性分析110例肝胆管结石患者的临床资料,观察胆道镜下肝胆管切开取石术(观察组,n=62)和肝部分切除术(对照组,n=48)治疗肝胆管结石的临床疗效。结果观察组患者手术时间、术中出血量、术后下床活动时间均明显低于对照组(P<0.05);观察组患者手术并发症发生率、结石残留率及复发率均显著低于对照组(P<0.05)。结论胆道镜下肝胆管切开取石术治疗肝胆管结石具有创伤小、恢复快、并发症少等优点,且结石残留率及复发率较低,具有较好的应用前景。Objective To investigate superiority of choledochoscopic hepatic duct incision calculus extraction in the treatment of hepatolithiasis.Methods Clinical data of 110 patients with hepatolithiasis were retrospectively analyzed. Clinical effects of choledochoscopic hepatic duct incision calculus extraction （observation group, n=62） and partial hepatectomy （control group, n=48） in treating hepatolithiasis were observed.Results The observation group had much lower operation time, intraoperative bleeding volume, and postoperative activity time than the control group （P〈0.05）. Incidence of complications, calculus residual rate, and relapse rate in the observation group were also lower than the control group （P〈0.05）.Conclusion Choledochoscopic hepatic duct incision calculus extraction has the advantages of small invasion, quick recovery, and few complications. It also has low calculus residual rate and relapse rate with good application prospect.

关 键 词：肝胆管结石 胆道镜 肝胆管切开取石术 肝部分切除术 

分 类 号：R657.3[医药卫生—外科学]