肝左右叶联合切除治疗复杂原发性肝胆管结石的效果分析李艳国.docVIP

精品论文 参考文献 肝左右叶联合切除治疗复杂原发性肝胆管结石的效果分析李艳国 湖南省汨罗市人民医院 湖南岳阳 414400 【摘 要】目的：肝左右叶联合切除治疗复杂原发性肝胆管结石的效果分析。方法：对于90例复杂原发性肝胆管结石患者的临床资料进行回顾性分析，甲组包括45例采用肝左右叶联合切除治疗的患者, 乙组包括45例采用肝叶与肝段切除治疗的患者，比较两组的治疗效果。结果：通过手术治疗,甲组在治疗效果的优良率上达到了93.3%,并发症发生率仅为6.66%,残石率仅为4.44%,在这三方面的数据均显著优于乙组,差异具有统计学意义(Plt;0.05)。结论：运用肝左右叶联合切除的方法对于复杂原发性肝胆管结石进行治疗可以收到显著的疗效,并能够有效地降低并发症和残石率,值得在临床上进行推广。 【关键词】肝左右叶联合切除；复杂原发性肝胆管结石；效果分析 Objective: to analyze the effect of combined resection of the left and right lobes of the liver in the treatment of complicated primary hepatic bile duct stones. Methods: 90 cases of complicated primary bile duct stones in patients with clinical data were retrospectively analyzed for first division including 45 cases of using left lobe of liver resection to treat patients, group B including 45 cases with liver lobes and hepatic segment resection in the treatment of patients with, compared with two groups of curative effect. Results: through the surgical treatment of first division on the treatment effect of the excellent and good rate 93.3%, complication rate was only 6.66%, residual stone rate was only 4.44%, in the three aspects of data were significantly better than that of group B, the difference is statistically significant (P lt; 0.05). Conclusion: the use of left and right hepatic lobe resection method for complicated primary hepatic bile duct stones were treatment can receive a significant effect, and can effectively reduce the complications and residual stone rate, it is worth promoting in clinical. Key words: combined resection of left and right lobes of the liver and left and right lobe of the liver complicated with primary hepatic bile duct stones; effect analysis 在临床外科的治疗当中,复杂原发性肝胆管结石是常见病和多发病,临床上主要的治疗方法包括对于病灶区进行清理并清除结石,对于狭窄区域进行一定的矫正,通过这些方法使胆道恢复通畅的状态,从而有效的减少胆道感染和结石复发的出现#65377;纵观目前用于临床医疗的众多方法,肝叶切除是一种得到最广泛认可的方式,然而如果手术后患者的肝功能发生衰竭就会造成患者的死亡率大大升高[1],正因为如此,在手术之前对于患者的肝储备功能进行一定的前期评估就显得意义尤为重大#65377;本文为了研究肝左右叶联合切除方法的治疗效果,对于90 例复杂原发性肝胆管患者的临床资料进行回顾性分析,具体如下#653