两种不同术式肝部分切除术治疗肝内胆管结石的临床分析  

Clinical analysis of two different surgical partial hepatectomy for intrahepatic bile duct stones

作　　者：蒋永军[1] 包磊[1] 张华国[1] 谢光军[1] 郭云虎[1] JIANG Yong-jun;BAO Lei;ZHANG Hua-guo;XIE Guang-jun;GUO Yun-hu(Department of hepatobiliary surgery,Huaiyin hospital,Jiangsu Province Huaian City 223300,China)

机构地区：[1]淮安市淮阴医院肝胆外科,江苏淮安223300

出　　处：《中西医结合心血管病电子杂志》2020年第32期3-4,共2页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的研究两种不同术式肝部分切除术用于治疗肝内胆管结石的临床疗效。方法于2017年1月~2019年12月择选60例罹患肝内胆管结石患者作为研究对象,将其划分为两组后,采取不同的肝部分切除方案。改良组选择规则性肝叶切除术,普通组选择不规则肝部分切除术,研究两组患者临床疗效的差异。结果改良组患者术中出血量均低于普通组,两组比较,差异有统计学意义(P<0.05),两组患者手术时间差异不大,差异无统计学意义(P>0.05);改良组患者预后优于普通组,组间比较,差异有统计学意义(P<0.05)。结论肝部分切除术中的规则性肝叶切除术式用于治疗肝内胆管结石临床效果较好,具有临床借鉴意义。Objective To study the clinical efficacy of two different surgical partial hepatectomy for the treatment of intrahepatic bile duct stones.Methods From January 2017 to December 2019,60 patients with intrahepatic bile duct stones were selected as the research object,and they were divided into two groups,and different partial liver resection plans were adopted.The modified group chose regular hepatic lobectomy,and the general group chose irregular partial hepatectomy to study the difference in clinical efficacy between the two groups.Results The patients in the modified group had lower intraoperative blood loss than the ordinary group,and the difference between the two groups was statistically significant(P<0.05).The difference in the operation time between the two groups was not significant(P>0.05);Groups,the differences between groups were statistically significant(P<0.05).Conclusion The regular hepatectomy in partial hepatectomy is effective for the treatment of intrahepatic bile duct stones and has clinical significance.

关 键 词：肝部分切除术 肝内胆管结石 临床疗效 

分 类 号：R657.4[医药卫生—外科学]