探讨胆肠吻合术在治疗肝胆管结石中作用.docVIP

探讨胆肠吻合术在治疗肝胆管结石中作用 　　【摘 要】目的：探讨68例患者采用胆肠吻合术治疗肝胆管结石的效果。方法：选择 2011年10月到2013年12月经我治疗肝胆管结石的患者136例，随机将136例患者分成对照组68例，治疗组68例，对照组患者采用T管引流手术治疗，治疗组患者采用胆肠吻合手术治疗，观察两组患者的治疗效果。结果：治疗组患者治疗的显效率、总有效率明显高于对照组患者，差异明显，具有统计学意义（P0.05）。治疗组患者的结石残留率明显低于对照组患者，差异明显，具有统计学意义（P0.05）。结论：采用胆肠吻合术治疗肝胆管结石效果明显，能有效提高治愈率，降低结石残留率，减少患者痛苦，受到患者及患者家属的青睐，具有较高的临床应用价值。 　　【关键词】胆肠吻合术；肝胆管结石；T管引流手术；治疗效果 　　To investigate the role of biliary-enteric anastomosis in the treatment of bile duct stones 　　[Abstract]Objective： Investigate 68 cases of patients with biliary-enteric anastomosis for bile duct stones in the therapeutic effect. Methods： Choose October 2011 to December 2013 period， I treat patients of 136 cases of bile duct stones， 136 patients were randomly divided into a control group of 68 patients， the treatment group of 68 patients in the control group of patients with T tube drainage surgery， the treatment group were treated with cholangioenterostomy surgery， the treatment effect was observed in both groups of patients. Results： Patients treated with remarkable efficiency of the treatment group， the total effective rate was significantly higher in patients with significant differences， with statistical significance （P 0.05）. Stone residual rate in patients treated patients was significantly lower than in the control group was significantly different， with statistical significance （P 0.05）. Conclusion： Treatment of biliaryenteric anastomosis using bile duct stones obvious effect， can effectively improve the cure rate and reduce the residual stone rate and reduce the suffering of patients， by patients and family members of patients of all ages， with a high clinical value.[key words]Biliary-enteric anastomosis； Bile duct stones； T-tube drainage surgery； Treatment 　　肝胆管结石是胆管结石的一种类型，主要是指左右肝管汇合部以上各分枝胆管内的结石，是临床常见的疾病之一[1]。此病如果治疗不及时、不彻底，易引发严重的并发症，增加患者死亡率[2]。随着近几年，我国生活条件不断改善，肝胆管结石的发病率不断上升，已经严重危害患者的生活质量。 　　目前临床治疗肝胆管结石的方法较多，比如胆管探查取石、T管引流手术、胆肠吻合术等[3]，每种方法治疗均有优缺点。但是根据肝胆管结石手术治疗的原则“取尽结石，去除病灶，建立通畅胆道引流”来看，胆肠吻合术的治疗效果更明显[