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目的：探讨用选择适应证保胆取石的疗效。方法2004年8月至2014年12月对试验组625例选择青少年、胆囊内1~3枚结石、胆囊收缩功能正常者为保胆取石适应证。对照组：回顾性分析本院1997至2007年期间进行的483例无选择性保胆取石术资料。结果试验组术后随访1、5、10年结石复发率分别为2．3%、5．2%、10．1%，对照组术后随访1、5、10年结石复发率分别为9．7%、15．6%、25．3%，两组结石复发率的差异有统计学意义( P<0．05)。结论经过选择适应证的保胆取石术能有效降低术后结石复发率。“,”Objective To study on the clinical effects of choose an indication cholelithotomy. Methods From 2004 Au-gust to 2014 December to the control group one of thein choose an indication cholelithotomy:625 patients andyoungsters,and 1 to 3 cholelith,and gallbladder is functioning normally. The experimental group of 185 patients in no choose an indication cholelithotomy from 1997 to 2003 of gather material. Results The control group of stonein recur the rate were 2. 3%、5. 2%、10. 1%the followup period for 1、5、10 years. The experimental group of stonein recur the rate were 9. 4%、17. 2%、26. 5% the follow up period for 1、5、10 years(P<0. 05). Conclusion Choose an indication cholelithotomyis lower inhave a relapse of cholelith of relation.