肝部分切除联合手术治疗肝胆管结石临床效果观察.docVIP

肝部分切除联合手术治疗肝胆管结石临床效果观察【摘要】目的 探讨肝部分切除联合纤维胆道镜手术治疗肝胆管结石的临床疗效。方法 回顾性分析我院2006年7月~2010年7月收治的36例行肝部分切除联合纤维胆道镜手术治疗肝胆管结石的患者资料，记为治疗组，选取同期收治的36例单纯行肝部分切除术患者的资料作为对照组，术后随访1年，比较两组患者取石成功率、残余结石率及术后并发症发生情况。结果 治疗组患者取石成功率高、残余结石率低，与对照组患者比较差异有统计学意义（p＜0.05）。两组患者术后并发症比较差异无统计学意义（p＞0.05）。结论 肝部分切除联合胆道镜治疗肝胆管结石，能提高取石成功率，降低术后并发症，效果好，值得在临床推广 【关键词】肝部分切除 胆道镜 肝胆管结石 残余结石 临床疗效 中图分类号：R657.4 文献标识码：B 文章编号：1005-0515（2012）1-033-02 Partial hepatectomy and surgical treatment of bile duct stones Clinical effect of LU Yuzhi （Yunnan Provincial People’s Hospital 654 200 Huize） 【Abstract】Objective To investigate the combined partial liver resection surgery Choledochofiberscope the clinical efficacy of bile duct stones. Methods A retrospective analysis of our hospital in July 2006 - July 2010 were treated 36 underwent hepatic resection combined Choledochofiberscope surgery in patients with hepatolithiasis data recorded for the treatment group, select the same period 36 cases of simple lines treated partial hepatectomy in patients with the information as a control group were followed up for 1 year, two groups were compared the success rate of stone, the rate of residual stones and complications were observed. Results Patients were stone success rate, low rate of residual stones, compared with the control group were significantly (p 0.05). Conclusion Liver resection combined treatment of bile duct stones choledochoscopy, stone can increase the success rate and reduce postoperative complications, the effect is good, worthy of clinical 【Keywords】partial hepatectomy cholangioscopy bile duct stones residual stones clinical effect 胆石症是外科的常见病和多发病，其中以胆管结石为主，在胆道疾病中有很高的发病率，经皮经肝胆道镜(percutaneous transhepatie cholangioscopy，PTCS)在肝胆疾病的诊断和治疗中发挥重要作用[1]，对于肝内、外胆管残余结石及复发结石的治疗，基本可以取代外科手术，我院应用肝部分切除联合胆道镜治疗肝胆管结石，效果满意，现报告如下： 1 资料和方法 1.1 一般资料 回顾性分析我院2006年7月~2010年7月收治的36例行肝部分切除联合纤维胆道镜手术治疗肝胆管结石的患者资料，记为治疗组，选取同期收治的36例单纯行肝部分切除术患者的资料作为对照组，治疗组男性22例，女性14例，年龄在25~77岁之间，平均54.4±5.7岁，胆总管结石12例，肝内胆管结石24例，其中有15例患者合并胆囊结石；对照组