摘要
目的探讨手术治疗肝内胆管结石的临床方法及临床疗效。方法选取我院收治的120例行肝内胆管结石手术的患者,对其临床资料进行回顾性分析。结果胆总管切开加纤维胆道镜取石和肝切除手术方式术后的优良率明显高于其他手术方式,其术后残石的发生率和并发症发生率也均明显低于其他手术方式,对比差异均具有统计学意义(P<0.05)。结论根据患者的结石部位、狭窄部位及程度等情况,同时结合术中B超以及胆管镜检查,选择合理的手术方式,术中应力争解除胆道狭窄,保证胆汁引流通畅,可明显提高治愈率,有效降低结石的复发率以及再手术率。
Objective To explore the surgical treatment of hepatolithiasis clinical method and clinical curative effect.Methods Select 120 hepatolithiasis patients,their clinical data were retrospectively analyzed.Results The postoperative good rate of common bile duct cut added fiber biliary mirror take stone and Liver resection surgery way was significantly higher than other operation method,the incidence of postoperative residual stone and complication rate also were significantly lower than other operation method,has a statistically significant difference（P〈0.05）.Conclusion According to the patient＇s stone parts,narrow parts and the circumstance such as degree,in combination with the intraoperative type-B ultrasonic and bile duct mirror check,the choice of surgical treatment of intraoperatie should strive to remove,stenosis,ensure bile drainage unobstructed,which could evidently improve cure rate and reduce the recurrence of stone and reoperation rate.
出处
《中国医药指南》
2012年第30期35-36,共2页
Guide of China Medicine
