摘要
目的观察规则与非规则性肝叶切除术治疗肝胆管结石的临床疗效与安全性.方法选取2013年1月至2014年6月曲靖市第二人民医院收治的肝胆管结石患者90例,随机分为观察组45例,对照组45例,对照组患者给予非规则性肝叶切除术,观察组患者采用规则性肝叶切除术治疗,比较2组患者治疗效果、术中出血量、手术与住院时间、输血率、术后结石清除率、肝胆管结石复发率及并发症变化.结果观察组患者治疗有效率95.56%,高于对照组治疗有效率82.22%,差异有统计学意义(P<0.05).2组患者术中出血量、手术时间及住院时间比较,差异有统计学意义(P<0.05);观察组患者输血率、结石清除率及复发率低于对照组,且观察组并发症发生率低于对照组,差异均有统计学意义(P<0.05).结论规则性肝叶切除术治疗肝胆管结石术中出血量及住院时间明显优于非规则性肝叶切除术治疗,且并发症发生率较低,临床治疗效果明显优于非规则性肝叶切除术肝胆管结石.
Objective To observe the efficacy and safety of regular and irregular hepatectomy in the treatment of bile duct stones. Methods 90 cases of patients with hepatolithiasis, who were received by our hospital for treatment from January 2012 to June 2014, were randomly divided into 45 cases of observation group and 45 cases of control group. The control group was given regular hepatectomy, and the observation group was given irregular hepatectomy. Therapeutic effects, blood loss, surgery, hospital stay, transfusion rate, postoperative stone clearance rate, bile duct stone recurrence rate and complication change of the two groups were compared. Results The treatment efficiency of the observation group was 95.56%, which was higher than that of the control group （82.22%）, and the difference had statistical significance （P〈O.05） . There were statistical differences in the blood loss, operation time and hospital stay between the two groups （P〈0.05） . Transfusion rates, the stone clearance rate and recurrence rate, and the incidence of complications of patients in the observation group were lower than those of the control group （P 〈0.05） . Conclusion Regular hepatectomy was obviously better than irregular hepatectomy in blood loss and hospital stay in the treatment of bile duct stones, with a low incidence of complications.
出处
《昆明医科大学学报》
CAS
2015年第12期29-32,共4页
Journal of Kunming Medical University
基金
国家自然科学基金资助项目(81560472)
云南省科技厅-昆明医科大学联合专项基金资助项目(2013FB166)
