规则性肝切除治疗肝管结石术中联合使用胆道镜的价值  

Value of combined use of choledochoscope in regular hepatectomy for hepatolithiasis

作　　者：金煜东 Jin Yudong(Hepatobiliary Surgery Department,Jiujiang NO.1 People's Hospital,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江市第一人民医院肝胆外科,江西九江332000

出　　处：《当代医学》2020年第29期110-112,共3页Contemporary Medicine

摘　　要：目的探讨规则性肝切除治疗肝管结石术中联合使用胆道镜的价值。方法选取2017年3月至2018年7月本院接收的80例肝管结石患者,随机分为对照组和观察组,每组40例。对照组采取规则性肝切除术进行治疗,观察组采取规则性肝切除术联合胆道镜进行治疗。观察并比较两组总有效率、结石残留率、1年复发率以及并发症发生率。结果观察组总有效率高于对照组,结石残留率、1年复发率、并发症发生率均低于对照组,差异有统计学意义(P<0.05)。结论规则性肝切除术联合胆道镜治疗肝管结石,可提高临床有效率,降低结石残留率、复发率、并发症发生率,临床效果显著。Objective To explore the value of combined use of choledochoscope in regular hepatectomy for hepatolithiasis.Methods 80 patients with hepatolithiasis received in our hospital from March 2017 to July 2018 were selected and randomly divided into two groups,the control group and the observation group,with 40 cases in each group.The control group was treated with regular hepatectomy,while the observation group was treated with regular hepatectomy combined with choledochoscopy.The total effective rate,stone residual rate,one-year recurrence rate and the incidence of complications of the two groups were observed and compared.Results The total effective rate of the observation group was higher than that of control group,the stone residual rate,one-year recurrence rate and the incidence of complications were lower than those of control group,and the difference was statistically significant(P<0.05).Conclusion Regularhepatectomy combined with choledochoscopy for hepatolithiasis can improve the clinical efficiency and reduce the residual rate,recurrence rate and complication rate of hepatolithiasis.The clinical effect is remarkable.

关 键 词：肝管结石术 规则性肝切除 胆道镜 

分 类 号：R657.3[医药卫生—外科学]