外科治疗在胆道术后肝胆管治疗中的临床效果

目的探讨外科治疗在胆道术后肝胆管治疗中的临床效果。方法将2008年4月～2012年4月德阳市人民医院普外科100例胆道术后肝内胆管结石患者随机分为对照组与观察组,每组各50例。对照组行常规胆囊切除以及胆道探查术,观察组行外科手术治疗。比较两组临床疗效、术中出血量、手术时间、住院天数及术后情况。结果对照组临床治疗优良率为76%,显著低于观察组（94%）,两组比较差异有高度统计学意义（P〈0.01）;观察组术中出血量、手术时间及住院天数分别为（86.72±6.93）mL、（149.62±21.55）min及（11.27±2.56）d,均显著小于对照组（105.22±12.77）mL、（182.27±31.79）min、（15.73±3.82）d],差异均有统计学意义（P〈0.05）;对照组术后并发症发生率为12%,显著高于观察组（32%）,两组比较差异有高度统计学意义（P〈0.01）。结论外科治疗在胆道术后肝胆管治疗中的临床疗效显著,术后并发症发生率低,值得在临床上加以推广并应用。

Clinical effect of surgical treatment in the postoperative biliary bile duct

Objective To investigate the clinical efficacy of surgical treatment in postoperative biliary bile duct. Methods 100 patients with intrahepatic bile duct stones after biliary surgery from April 2008 to April 2012 in the Department of General Surgery, the People＇s Hospital of Deyang City, and they were divided into control group and observation group randomly, 50 cases in each group. The control group were given the exploratory surgery bile duct, and the observation group were received surgical treatment. The clinical efficacy, blood loss, operative time, hospital stay and postoperative conditions of two groups were compared. Results The excellent rate of the control group was 76%, which was significantly lower than that of the observation group（94%）, and there was significantly statistical difference between the two groups（P 〈0.01）; the intraoperative blood loss, operative time and hospital stay were（86.72±6.93） mL,（149.62±21.55） min and（11.27±2.56） d of the observation group, which were significantly less than those of the control group （105.22±12.77） mL,（182.27±31.79） min and（15.73±3.82） d], and the differences were statistically significant（P 〈0.05）; the postoperative complication rate was 32% of the control group, which was significantly higher than that of the control group（12%）, compared the two groups, the difference was statisticaly significant（P 〈0.01）. Conclusion Surgical treatment of postoperative biliary bile duct in the treatment of significant clinical efficacy, low incidence of postoperative complications, it is worth to be promoted in clinical and applied.