摘要
目的 分析解剖性肝叶切除术联合胆肠吻合术治疗肝胆管结石的临床疗效。方法 择取2022年8月-2024年8月期间在某三甲医院治疗的肝胆管结石患者中的100例为研究对象，根据入组顺序随机分组，对照组（50例）采用解剖性肝叶切除术治疗，观察组（50例）采用解剖性肝叶切除术联合胆肠吻合术治疗。结果 观察组患者术后并发症发生率、结石残留率、1年后复发率更低，数据差异明显，P＜0.05，具有统计学意义。结论 解剖性肝叶切除术联合胆肠吻合术治疗肝胆管结石的临床疗效显著，有效降低结石残留率及复发率，临床应用价值良好，建议推广应用。
关键词： 解剖性肝叶切除术；胆肠吻合术；联合治疗；肝胆管结石；临床疗效
Abstract
Objective To analyze the clinical efficacy of anatomical liver lobectomy combined with biliary enteric anastomosis in the treatment of liver and bile duct stones. Methods 100 patients with liver and gallbladder stones treated in a tertiary hospital from August 2022 to August 2024 were selected as the study subjects. They were randomly divided into two groups according to the order of enrollment: the control group (50 cases) was treated with anatomical liver lobectomy, and the observation group (50 cases) was treated with anatomical liver lobectomy combined with biliary enteric anastomosis. Results The incidence of postoperative complications, residual stone rate, and 1-year recurrence rate were lower in the observation group, with significant differences in data, P＜0.05, Has statistical significance. Conclusion The clinical efficacy of anatomical liver lobectomy combined with biliary enteric anastomosis in the treatment of hepatic and biliary calculi is significant, effectively reducing the residual and recurrence rates of calculi, and has good clinical application value. It is recommended to promote its application.
Key words： Anatomical hepatic lobectomy; Biliary-enteric anastomosis; Combined therapy; Biliary calculi; Clinical efficacy
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