不同手术方法治疗复杂性肝内胆管结石的效果观察

目的探讨不同手术方法治疗复杂性肝内胆管结石的临床效果。方法选取本院2012年1月~2013年1月收治的44例复杂性肝内胆管结石患者为研究对象,将采用肝部分切除术治疗的22例患者作为Ⅰ组,采用胆肠吻合术治疗的22例患者作为Ⅱ组,比较两组的临床效果（术后残石率、并发症发生情况、结石复发率等）。结果Ⅰ组的残石率为13.64%,低于Ⅱ组的36.36%（P〈0.05）;两组的总并发症发生率差异无统计学意义（P〉0.05）;Ⅰ组的复发率明显低于Ⅱ组（P〈0.05）。结论肝部分切除术是治疗复杂性肝内胆管结石最为理想的方法,可有效降低结石复发率和术后残石率。

Effect observation of different operation methods in the treatment of complicated hepatolithiasis

Objective To explore the clinical effect of different operation methods in the treatment of complicated hepatolithiasis. Methods 44 patients with hepatolithiasis admitted into our hospital from January 2012 to January 2013 were selected as research objects.22 patients undergone partial hepatectomy were selected as the group Ⅰ ,and another 22 patients treated by biliary intestinal anastomosis were classified into the group Ⅱ .The clinical effects （postoperative residual stone rate,complications,and recurrence rate of calculus, etc） were compared in both groups. Results The postoperative residual stone rate in the group Ⅰ （13.64%） was lower than that in the group Ⅱ （36.36%） （P〈0.05）. There was no statistical difference of the total incidence rate of complications in the two groups （P〉0.05）.The recurrence rate of calculus in the group Ⅰ was greatly lower than that in the group Ⅱ （P〈0.05）. Conclusion Nowadays, partial hepatectomy is an optimal method to treat complicated hepatolithiasis,which can effectively reduce the recurrence rate of calculus as well as postoperative residual stone rate.