肝切除治疗肝内胆管结石合并急性胆管炎手术时机分析.docVIP

肝切除治疗肝内胆管结石合并急性胆管炎手术时机分析 　　【摘要】 目的：分析肝切除手术时机对治疗肝内胆管结石合并急性胆管炎的影响。方法：选取2010年5月-2013年11月笔者所在医院的肝内胆管结石合并急性胆管炎患者81例，根据肝切除治疗肝内胆管结石合并急性胆管炎控制的时间间隔分为两组，对照组患者40例，肝切除手术距离急性胆管炎控制1个月；试验组患者41例，肝切除手术距离急性胆管炎控制≥1个月。对两组患者平均住院时间、术中出血量、术后残石率以及术后并发症症状和发生率进行比较分析。结果：试验组的平均住院时间、术中出血量都低于对照组，且试验组术后残石率和并发症发生率明显低于对照组，差异均有统计学意义（P0.05）。结论：肝切除手术距离急性胆管炎控制≥1个月的临床效果更明显，有助于患者治疗和康复。 　　【关键词】 肝内胆管结石； 急性胆管炎； 手术时机 　　中图分类号 R575 文献标识码 B 文章编号 1674-6805（2014）24-0128-02 　　Operation Opportunity Analysis of Hepatectomy in the Treatment of Intrahepatic Bile Duct Combined with Acute Cholangitis/KOU Guang-ping.//Chinese and Foreign Medical Research，2014，12（24）：128-129 　　【Abstract】 Objective：To analyze the effects of operation opportunity in the treatment of intrahepatic bile duct combined with acute cholangitis.Method：81 patients with intrahepatic bile duct and acute cholangitis in our hospital from May 2010 to Nov 2013 were selected as the study objects，and divided them into two groups according to interval of hepatectomy and acute cholangitis control，the control group（40 cases） including patients with less than 1 month of interval，the experimental group including patients with no more than 1 month of interval，the average hospital time，bleeding volume，postoperative residuals，incidence and symptoms of postoperative complications of two groups were compared and analyzed.Result：The average hospital time，bleeding volume of experimental group were higher than those in the control group，and the residual rate and complication incidence of experimental group after treatment were significantly lower than those in the control group，differences between two groups were statistically significant（P0.05）.Conclusion：Applying hepatectomy in the treatment of acute cholangitis when the interval is not less than 1 month has better efficacy，which helps the patients recover to normal as soon as possible. 　　【Key words】 Intrahepatic bile duct； Acute cholangitis； Operation opportunity 　　First-author’s address：The People’s Hospital