手术与内镜取石治疗肝内胆管结石的近远期疗效及其危险因素分析-论文.pdf

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1、中国现代医生2014年1月第52卷第1期·临床研究·手术与内镜取石治疗肝内胆管结石的近远期疗效及其危险因素分析袁长鹏陈余1．山东铝业公司医院急诊科，山东淄博255069；2．山东能源淄博矿业集团有限责任公司中心医院普外科，山东淄博255120【摘要】目的比较手术与内镜取石治疗肝内胆管结石的近远期疗效及其危险因素。方法将80例肝内胆管结石患者按照抽签方法随机地均分为对照组与观察组，分别采用内镜取石术与手术进行治疗。比较两组近远期疗效，然后分别采用Pearson单因素与多元Logistic回归分析的方

2、法对影响疗效的危险因素进行分析。结果观察组术中出血量、手术时间、术后住院时间及并发症发生率均显著小于对照组(P

3、文献标识码】B【文章编号】1673—9701(2014)01—0023-03Theshort-andlong-termeficacyandriskfactorsofsurgicalandendo-scopictreatmentofintrahepaticbileductstoneYUANChangpengCHENyu21．DepartmentofEmergency，ShandongAluminumCompanyHospital，Zibo255069，China；2．DepartmentofGene

4、ralSurgery，CentralHospitalofShandongEnergenticZiyuanMiningGroupCo．，Ltd，Zibo255120，China【Abstract】ObjectiveTocomparesur~calandendoscopictreatmentofintrahepaticstonesstoneneartermefficacyandriskfactors．MethodsEighlycasesofpatientswithintrahepaticbileduc

5、tstoneswererandomlydividedintocontrolgroupandobservationgroup．Endoscopiclithotripsyandsurgicaltreatmentwererespectivelyusedtotreatthepatients．Therecentlong-termeficacyofthetwogroupswascompared．AndthenpearsonunivariateandmultivariateLogisticregressiona

6、nalysisofriskfactorswereusedtoanalyzetheriskfactorsthataffectedtheefficacy．ResultsThebloodloss，operativetime，postoperativehospitalstayandcomplicationsoftheobservationgroupweresignificantlylowerthancontrolgroup(P<0．05)；univariateandmultivariateLogistic

7、regressionanalysisshowed：intrahepaticbileductstenosis，treatmentanddistributionofresidualstonesstoneriskfactors；residualstones，intrahepaticbileductsteno—sis，treatmentanddistributionstonesstonerecurrenceriskfactors．ConclusionLiverresectionforintrahepati

8、cstonessignificanteffect；intrahepaticbileductstenosis，treatmentanddistributionofresidualstonesstoneriskfactors；resid-ualstones，intrahepaticbileductstenosis，treatmentandstonesdistributionofriskfactorsforstonerecurrence．【Keywords】Surgery；Endosco