胆总管切开并肝叶切除术对肝内胆管结石治疗效果研究.docVIP

胆总管切开并肝叶切除术对肝内胆管结石治疗效果研究 　　[摘要] 目的 研究胆总管切开并肝叶切除术对肝内胆管结石的治疗效果。方法 选取该院在2012年4月―2013年4月所收治的46例肝内胆管结石患者，随机分为观察组和对照组各23例，其中观察组采用总管切开并肝叶切除术进行治疗，对照组采用肝总管切开取石术，比较两组治疗效果，并进行术后随访。结果 观察组治疗总有效率为91.3%，高于对照组患者的69.7%。由此可见观察组治疗效果优于对照组。 结论 胆总管切开并肝叶切除术对于肝内胆管结石的治疗具有良好效果和应用价值。 　　[关键词] 胆总管切开并肝叶切除术；肝内胆管结石；治疗效果 　　[中图分类号] R57 [文献标识码] A [文章编号] 1674-0742（2015）03（a）-0045-02 　　The common bile duct and hepatic resection for intrahepatic bile duct stones to observe the therapeutic effect of 　　LU Haitao 　　Shenyang Medical College Affiliated Hospital of general surgery four， zip code， 110024， China 　　[Abstract] Objective To study the common bile duct and therapeutic effect of hepatectomy for intrahepatic bile duct stones. Methods Selected in our hospital in 2012 April to 2013 April were treated 46 cases of intrahepatic bile duct stone patients， randomly divided into observation group and control group with 23 cases in each group， the observation group used duct and hepatic lobectomy for treatment， control group with hepatic duct lithotomy， the treatment effect of the two groups were compared， and postoperative follow-up. Results The observation group the total effective rate was 91.3%， higher than that of the control group of 69.7% patients. Thus the treatment effect in observation group is better than the control group. Conclusion the common bile duct and hepatic resection has good effect and application value in the treatment of intrahepatic bile duct stones. 　　[Key words] Common bile duct incision and lobectomy of liver； Intrahepatic bile duct stones； Treatment effect 　　肝内胆管结石是在肝内胆管系统中，具体在肝管汇合部以上发生结石的疾病，又称肝胆管结石病或原发性肝胆管结石[1]。在我国，肝内胆管结石是一种比较常见的疾病，尤其在华南、长江流域、东南沿海和西南部等区域较为多见。目前，对于肝内胆管结石的发病机理尚且不清楚，普遍认为其发病和细菌感染、营养不良、胆汁淤滞、胆管慢性炎症和胆道蛔虫等有关[2]。其中，胆管内慢性炎症是肝内胆管结石形成的关键，而胆汁淤滞是其形成的前提。传统治疗肝内胆管结石的方法过程极为繁琐，且并发症的发生率比较高，常会给患者造成较大经济压力及心理压力。该院通过研究胆总管切开并肝叶切除术对肝内胆管结石的治疗效果和应用价值，取得良好效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　选取该院在2012年4月―2013年4月所收治的46例肝内胆管结石患者，其中男22例，女24例，年龄为24～65岁，将患者随机分为观察组和对照组各23例。术前对患者各项机能进行CT、B超与