规则性肝切除术与非规则性肝切除术治疗肝内胆管结石的对比性分析  

Contrastive analysis of the regular hepatectomy and nonregular hepatectomy in the treatment of hepatolithiasis

作　　者：马吉安[1] 刘维政[1] 邹华[1] 贾学峰[1] 

机构地区：[1]四川省达州市中西医结合医院,635000

出　　处：《中国实用医刊》2016年第14期59-61,共3页Chinese Journal of Practical Medicine

摘　　要：目的：对比观察规则性肝切除和非规则性肝切除在肝内胆管结石中的临床效果，为肝内结石病的治疗提供参考依据。方法选取2013年8月至2015年2月收治的32例行规则性肝叶切除术治疗肝内胆管结石患者为观察组，32例非规则性肝叶切除术治疗肝内胆管结石患者为对照组。对比分析两组患者的手术时间、术中出血量、术后平均住院时间、并发症发生率、结石清除率及随访优良率。结果观察组出血量、术后平均住院时间及并发症发生率明显低于对照组，结石清除率、随访优良率显著优于对照组，差异有统计学意义（ P ﹤0.05）。结论规则性肝叶切除术在肝内胆管结石的治疗中理想有效，值得临床推广应用。Objective To observe the clinical effects of the regular hepatectomy and nonregular hepatectomy in the treatment of hepatolithiasis,and to provide the reference for the treatment of hepatoli-thiasis. Methods Selecedted 32 patients with hepatolithiasis who received regular hepatectomy from Au-gust 2013 to February 2015 as observation group,and another 32 patients with hepatolithiasis who re-ceived regular hepatectomy as control group. The operation time,blood loss,average hospital stay,com-plications,stone clearance rate and the rate of good follow-up of the two groups were compared. Results Blood loss,average hospital stay and rate of complications in the observation group were signifi-cantly lower than those in the control group,the calculus clarity rate and exellent follow up rate were sig-nificantly higher than those in the control group,and the differences were all significant（P ﹤ 0. 05）. Conclusions The regularity lobectomy is effective on hepatolithiasis,and is worthy of clinical populari-zation and application.

关 键 词：肝叶切除 肝内胆管结石 清除率 

分 类 号：R657.42[医药卫生—外科学]