摘要
目的分析肝硬化合并胆结石外科治疗的临床效果。方法方便选择该院自2010年5月—2015年5月收治的110例肝硬化合并胆结石患者,所有患者均给予手术治疗,对治疗效果、并发症进行观察。结果经治疗后,患者的有效率为91.82%(101/110);手术所需时间为(54.39±9.38)min,术中出血量为(432.38±88.37)m L;经治疗后,患者ALT、AST及γ-GT指标与治疗前对比均有明显下降(P<0.05);治疗后HBV-DNA、HBe Ag阳性率与治疗前对比均有明显下降(P<0.05);术后有7例患者出现了切口感染,5例出现了上消化道出血,3例出现了腹腔积液,并发症发生率为13.64%(15/110)。结论给予肝硬化合并胆结石患者行手术治疗,可将ALT、AST、γ-GT等指标改善,疗效显著,值得使用。
Objective To analyze the clinical effect of surgical treatment of cirrhosis and gall-stone. Methods Convenient selection 110 cases of patients with cirrhosis and gall-stone admitted and treated in our hospital from May 2010 to May2015 were selected and treated with operation, and the treatment effect and complications were observed. Results After treatment, the effective rate, operation time needed and intraoperative bleeding amount of patients were respectively 91.82%(101/110),(54.39±9.38)min and(432.38±88.37)m L, after treatment, the ALT, AST and γ-GT obviously decreased compared with those before treatment(P <0.05), after treatment, the positive rates of HBV-DNA and HBe Ag obviously de-creased compared with those before treatment( P < 0. 05), and there were 7 cases with incision infection after surgery and 5 cases with upper gastrointestinal hemorrhage and 3 cases with peritoneal effusion, and the incidence rate of complications was 13.64%(15/110). Conclusion The operation treatment of cirrhosis and gall-stone patients can improve the ALT,AST, γ-GT, and the curative effect is obvious, which is worth application.
出处
《中外医疗》
2017年第24期57-59,共3页
China & Foreign Medical Treatment
关键词
肝硬化
胆结石
外科手术
临床效果
Cirrhosis
Gall-stone
Surgical operation
Clinical effect
