肝切除联合纤维胆道镜治疗肝胆管结石的临床效果  

Clinical effect of hepatectomy combined with choledochoscopy in the treatment of hepatolithiasis

作　　者：张斌[1] ZHANG Bin(Jingyan People＇s Hospital,Jingyan61300,China)

机构地区：[1]四川省井研县人民医院外科,613100

出　　处：《临床合理用药杂志》2018年第21期121-122,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨肝切除联合纤维胆道镜治疗肝胆管结石的临床效果。方法选取井研县人民医院2015年10月—2017年4月收治的肝胆管结石患者104例,采用双盲法分为对照组与观察组,各52例。对照组给予胆总管切开术治疗,观察组给予肝切除联合纤维胆道镜治疗。比较两组患者的治疗效果,观察患者并发症发生情况。结果观察组治疗总有效率高于对照组,术后并发症发生率低于对照组(P<0.05)。结论肝切除联合纤维胆道镜治疗肝胆管结石安全有效。Objective To analyze the clinical effect of hepatectomy combined with choledochoscopy in the treatment of hepatolithiasis.Methods A total of 104 cases of hepatolithiasis patients were selected from October 2015 to April 2017 in Jingyan People＇s Hospital,which were divided into control group and observation group according to double blind method,52 cases in each group.The control group was given choledochotomy,observation group was given hepatectomy combined with choledochoscopy.The clinical effect was compared between the two groups,and the incidence of complications were observed.Results The total effective rate in observation group was higher than control group,postoperative complication rate was lower than control group（P〈0.05）.Conclusion Hepatectomy combined with choledochoscopy are safe and effective in the treatment of hepatolithiasis.

关 键 词：肝胆管结石 肝切除术 纤维胆道镜 治疗结果 

分 类 号：R657.42[医药卫生—外科学]