| 柏宇 石刚 姜杰林 杨文斌 余路遥.手术治疗复杂性肝内胆管结石的临床分析[J].现代生物医学进展英文版,2014,14(14):2711-2713. |
| 手术治疗复杂性肝内胆管结石的临床分析 |
| The Clinical Analysis of Surgical in the Treatment of the ComplexIntrahepatic Bile Duct Stones |
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| DOI： |
| 中文关键词: 规则性肝段/ 肝叶切除术 复杂性肝内胆管结石 复发 |
| 英文关键词: Regular liver segment/lobe resection Complex intrahepatic bile duct stone Recurrence |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨规则性肝段/肝叶切除术治疗复杂性肝内胆管结石的临床疗效。方法：2009 年6 月至2013 年6 月期间，我们共
同诊治的60 例复杂性肝内胆管结石患者，随机将其分为对照组（非规则性肝段/ 肝叶切除术）和观察组（规则性肝段/ 肝叶切除
术），每组各30 例，对两组术中出血量，以及结石清除率、并发症、复发率，进行观察和比较。结果：与对照组相比，观察组术中出血
量明显减少，结石清除率明显提高，并发症发生率和复发率显著降低（P＜0.05），差异有统计学意义。结论：对于复杂性肝内胆管结
石患者，规则性肝段/肝叶切除术治疗的疗效显著，明显提高患者的预后质量，值得临床推广。 |
| 英文摘要: |
| Objective:To study the clinical efficacy of regular liver segment/lobe resection for the complex intrahepatic bile duct
stones.Methods:60 patients with the complex intrahepatic bile duct stones in our hospital during the period fromJune 2009 to June 2013
were randomized into the control group (non-regular liver segment/lobe resection) and the observation group (regular liver segment/lobe
resection), 30 patients per group. The operative blood volume, stone clearance rate, complications and recurrence rate in the two groups
were observed and compared.Results:Compared with the control group, the operative blood volume were significantly reduced, the
stone clearance rate was obviously increased, the incidence of complications and the recurrence rate were significantly decreased (P＜
0.05).Conclusions:For the patients with the complex intrahepatic bile duct stones, the regular liver segment/lobe resection has the
significant efficacy, can improve the patients prognosis quality, and is worthy of clinical promotion. |
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