摘要
目的探讨肝内胆管结石外科个体化治疗方案的有效实施及其疗效。方法安徽医科大学第一附院普外科器官移植中心病区2006年3月至2011年7月共收治76例肝内胆管结石患者按是否施行了联合肝叶切除分成:胆管切开取石联合肝叶切除组(A组)、单纯胆管切开取石组(B组),所有患者临床资料进行回顾性分析。结果 A、B两组间住院时间、手术时间及相关手术并发症的发生情况无明显差异(P> 0. 05),76位患者中,65例获得随访,随访率85. 5%(65/76),随访患者中A、B两组间术后胆管炎发生情况无明显差异(P> 0. 05)。结论个体化选择肝叶切除和内、外引流术,可以降低术后残石率并改善外科治疗效果。
Objective To explore reasonable selections of surgical approaches and their efficacy. Method We retrospectively collected perioperative data of all the patients with intrahepatic bile duct stones from the department of general surgery of the First Affiliated Hospital of Anhui Medical University between March 2006 and July 2011. The patients with intrahepatic bile duct stones were divided into hepatectomy group( A group) and non-hepatectomy group( B group). All of them were enrolled into this retrospective study. Results No significant differences were observed between two groups in aspects of hospitalized duration,operation time and the above-mentioned complications( P > 0. 05). In all 76 patients,65 cases were followed up,with an 85. 5% of follow-up rate. No significant differences were observed between two groups in cholangitis recurrence( P > 0. 05). Conclusion Individual operative approaches should be selected according to the distribution of gallstones,biliary conditions and various other clinical features,with the hope for reducing postoperative complications.
引文
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