肝切除术与胆道镜介入治疗肝内胆管结石对照分析
Comparative analysis between hepatectomy and cholangioscopy in treatment of intrahepatobiliary tract stones
曹新历 1苏茂生 1张天锋1
作者信息
- 1. 武警甘肃省总队医院普外科,甘肃,兰州,730050
- 折叠
摘要
目的:探讨肝切除术与胆道镜介入治疗肝内胆管结石的疗效.方法:回顾分析1990/2007年我院54例肝内胆管结石手术资料.结果:肝切除和胆道镜介入治疗这两种术式均有较高结石清除率,分别为96.2%和96.4%;肝切除组中5 a复发率为5.6%,胆道镜组中5 a复发率为31.5%(P<0.01);肝切除术的并发症率为26.8%,胆道镜治疗并发症率为18.2%(P>0.05).结论:伴有胆管狭窄的局限性肝内胆管结石病最好使用肝切除术治疗.
Abstract
AIM: To compare the therapeutic efficacy between hepatectomy and cholangioscopy in the treatment of intrahepatobiliary tract stones. METHODS: Data of 54 cases with intraheaptobiliary tract stones treated in our hospital from 1990 to 2007 were reviewed and analyzed. RESULTS: The stone clearance rate of both approaches were high, 96.2% and 96.4% respectively (P ＞ 0.05). The 5-year recurrence rate in hepatectomy group was 5.6% and 31.5% in cholangioscopy group(P ＜ 0.01). The complication rate of hepatectomy group and cholangioscopy group was respectively 26.8% and 18.2% (P ＞ 0.05). CONCLUSION: Hepatectomy would be a better choice in the treatment of localized intrahepatolithiasis accompanied with bile duct stenosis.
关键词
肝切除术/胆道镜/胆管,肝内/胆结石Key words
hepatectomy/cholangioscopy/bile ducts, intrahepatic/cholelithiasis引用本文复制引用
出版年
2009
NETL
NSTL
维普
万方数据