摘要
目的探讨肝部分切除为主的联合手术治肝内胆管结石的方法和疗效。方法回顾性分析2004年1月至2008年1月采用肝部分切除为主的联合手术治疗肝内胆管结石56例的治疗效果。结果本组无死亡病例,结石残留6例,残石率10.71%,随访50例,有轻度胆管炎症状4例,8.00%;再手术2例;术后并发症8例,14.28%;包括胆漏、肝断面感染、切口感染、胆道出血等。结论以肝部分切除术为主的联合手术是治疗肝内胆管结石的有效办法,可降低残石率和复发率,提高手术疗效,肝叶、段切除是肝内胆管结石手术治疗的核心。
Objective：To discuss curative methods and efects of hepatic lobectomy and segmentctomy for hepatolithiasis.Methods： Clinical outcome of 56 case of hepatolithiasis were analysed from jan 2004 to jan 2008.Results：The operation mortality was 0% .The residual stone rate was 10.71% （6/56）.50 case were followup with.2 cases reoperation.And 4 case of postoperativecholangitis.Not serious cholangitis of postoperation 8.00% （4/50）.Postoperative complication rate 14.28%（8/56）.including bile linkage,hemibilia,infection of hepatic resction surface.Conclusion：Hepatic lobectomy and segmentctomy ale efective methods for hepatolithiasis witIl lower rate of residual stone and recurrence and better clinical outcome.
出处
《井冈山医专学报》
2008年第4期4-5,共2页
Journal of Jinggangshan Medical College
