肝胆管结石的手术治疗:附178例报告  

The surgical treatment of hepatolithiasis:a report of 178 cases

作　　者：皮健[1] 温全[1] 张勇[1] 宁平[1] 

机构地区：[1]四川省成都市第九人民医院外三科,四川成都610015

出　　处：《中国普通外科杂志》2008年第2期111-113,共3页China Journal of General Surgery

摘　　要：目的探讨肝胆管结石的有效治疗方法。方法回顾性分析178例肝胆管结石的手术治疗患者的临床资料。178例中:T管引流术107例(其中并肝左叶或肝方叶切除7例);胆肠吻合手术71例(其中并肝左外叶或肝方叶切除11例)。结果术后胆管炎复发率分别为49.5%和24%,再手术率分别为28.7%和8%。结论解除胆道狭窄,去除病灶,通畅引流是预防胆管炎复发,减少再手术率的关键。Objective To explore the effective therapeutic methods for hepatolithiasis. Methods We retrospectively analyzed the clinical material of 178 hepatolithiasis patients who underwent surgical therapy. Among the 178 patients, 107 patients were treated with T- tube drainage （ including 7 patients with left hepatic lobe or quadlrate lobe resection ） , and 71 patients were treated with bile duct-intestinal anastomosis （including 11 patients with left hepatic lobe or quadrate lobe resection ）. Results Recurrence rate of postoperative angiocholitis in the two groups was 49.5 % and 24 % respectively, and the reoperation rate was 28.7 % and 8 % respectively. Conclusions The key to prevent recurrent angiocholitis and reduce the reoperation rate is to relieve biliary tract stricture, remove the focus of infection and provide unobstructed bile duct drainage.

关 键 词：胆结石/外科学 胆管 肝内 肝切除术 胆管肠吻合术 

分 类 号：R657.4[医药卫生—外科学]