肝胆管结石中二次胆道手术的临床疗效观察

汪远焱，杨先海

（陕西省安康市白河县人民医院普通外科，陕西 安康，725800）

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摘要：

目的 探讨二次胆道手术治疗肝胆管结石的临床疗效。方法 选择2010年3月至2014年3月我院收治的60例肝胆管结石复发患者，根据随机数字表法将其平均分为观察组及对照组，每组30例。观察组患者给予二次胆道手术治疗，对照组患者给予药物治疗，观察两组患者的治疗效果及治疗后2 年的复发率。结果 观察组的治疗总有效率为83.3%，对照组的治疗总有效率为53.3%，观察组的治疗总有效率明显高于对照组（P<0.05）；观察组治疗后2年复发率（3.3%）明显低于对照组（16.7%）（P<0.05）。结论 二次胆道手术治疗肝胆管结石疗效显著，术后复发率低，值得临床推广应用。

关键词：肝胆管结石；二次胆道手术；再发结石

中图分类号：R657.42文献标志码：A文章编号：2096-1413(2016)27-0065-02

Clinical effcet observation of secondary biliary tract surgery on patients with hepatic calculus
WANG Yuan-yan, YANG Xian-hai
(Department of General Surgery, Baihe County People`s Hospital, Ankang 725800, China)

ABSTRACT: Objective To investigate the clinical effcet of secondary biliary tract surgery on patients with hepatic calculus. Methods Sixty cases of patients with recurrent hepatolith admitted in our hospital from March 2010 to March 2014 were selected. According to random number table method, they were divided into observation group and control group, with 30 cases in each group. Patients in the observation group were given secondary biliary tract surgery, while patients in the control group were given drug treatment. The clinical effect and the recurrence rate after treatment of 2 years between the two groups were compared. Results The total effective rate in the observation group was 83.3%, which was significantly higher than 53.3% of the control group (P<0.05); and the recurrence rate after treatment of 2 years in the observation group (3.3%) was significantly lower than 16.7% in the control group (P<0.05). Conclusion The curative effect of secondary biliary tract surgery in the treatment of hepatic calculus is remarkable, with low postoperative recurrence rate, which is worthy of clinical application.
KEYWORDS: hepatic calculus; secondary biliary tract surgery; recurrence of calculus

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