肝内胆管结石患者行肝段切除治疗胆内结石的效果  

The Effect of Segmental Hepatectomy on Patients With Intrahepatic Stones

作　　者：张海源 ZHANG Haiyuan(Department of Hepatobiliary Surgery, Chifeng Hospital, Chifeng Inner Mongolia 024000, China)

机构地区：[1]赤峰市医院肝胆外科

出　　处：《中国继续医学教育》2019年第15期112-114,共3页China Continuing Medical Education

摘　　要：目的探讨肝内胆管结石患者行肝段切除和胆管切开取石术治疗的效果。方法选取2017年8月-2018年8月于我院进行治疗的肝内胆管结石患者共计88例作为研究对象。采用随机抽取的方式,将患者分为观察组和对照组。对照组患者给予胆管切开取石术进行治疗,观察组患者给予肝段切除术进行治疗。对比两组患者的疗效、手术指标和术后并发症发生情况。结果观察组患者的总有效率高于对照组,手术指标优于对照组,并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论在肝内胆管结石患者的临床治疗中,实施肝段切除术手术方式的治疗效果优于实施胆管切开取石术的治疗效果,并且能够显著降低术后并发症发生率,具有重要的临床意义。Objective To investigate the effect of segmental hepatectomy and cholangiolithotomy for intrahepatic lithiasis. Methods A total of 88 patients with intrahepatic bile duct stones treated in our hospital from August 2017 to August 2018 were selected as the study subjects. The patients were randomly selected and divided into observation group and control group. The patients in the control group were treated with choledochotomy and lithotomy. The patients in the observation group were treated with segmental hepatectomy. The curative effect, operative index and complications of the two groups were compared. Results The total effective rate of the observation group was higher than that of the control group, and the operative index was better than that of the control group. The incidence of complications was lower than that of the control group, and the difference was statistically significant(P < 0.05). Conclusion In the clinical treatment of intrahepatic bile duct stones, the effect of segmental hepatectomy is better than that of choledocholithotomy, and it can significantly reduce the incidence of complications, which has important clinical significance.

关 键 词：肝内胆管结石 肝段切除术 胆管切开取石术 手术治疗 肝叶 感染 

分 类 号：R657[医药卫生—外科学]