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目的观察和探讨肝切除手术与ERCP治疗IHS的临床疗效。方法选择2012年1月~2014年8月我院接诊的IHS患者96例,随机将患者分为观察组和对照组两组,各48例。其中观察组采取ERCP治疗;而对照组采取肝切除手术治疗。对比两组患者术中情况和术后恢复情况以及和发症的发生情况。结果观察组手术时间、术后下次活动时间和肛门排气时间分别为(112.4±16.4)min、(4.2±1.3)d和(28.2±5.6)h,而对照组为(142.4±12.9)min、(5.7±2.2)d和(43.4±8.4)h,两组相比(0.05);且观察组并发症发生率明显低于对照组(<0.05)。结论 ERCP术治疗IHS具有显著的疗效,术中失血更少,且术后恢复快,且安全可靠,是临床上较佳的治疗选择之一。“,”Objective To observe and compare the clinical ef ect of liver resection and endoscopic retrograde cholangiopancreatography (ERCP)in the treatment of intrahepatic bile duct stones(IHS). Methods 96 patients with IHS accepted surgical treatment in the hospital from January 2012~August 2014 were selected,patients were randomly divided into observation group and control group,each with 48 cases.Observation group accepted ERCP surgery;while the control group received traditional liver resection.Intraoperative situations and postoperative recovery time as wel as the occur ence of complications in two groups were recorded and compared.Results Observation operative time,postoperative flatus next event time and time respectively(112.4±16.4)min,(4.2±1.3)d and(28.2±5.6)h,while the control group was (142.4±12.9)min,(5.7±2.2)d and (43.4±8.4)h,compared the two groups,the dif erence was statistical y significant ( 0.05);and the incidence of complications in the observation group was significantly lower than the control group,the dif erence was statistical y significant( <0.05).Conclusion ERCP has a significant ef ect for IHS,with less blood loss and faster recovery,as wel as security,thus is one of the bet er treatment options on clinical and should be further promoted.