肝内胆管结石的外科治疗  

Surgical Management of Primary Intrahepatic Bile Duct Stone

作　　者：姜平[1] 魏宏[1] 魏宇[1] 

机构地区：[1]四川省泸州市叙永县人民医院急救中心外科,四川泸州646400

出　　处：《中外医疗》2008年第8期26-27,共2页China & Foreign Medical Treatment

摘　　要：目的探讨肝內胆管结石的外科治疗经验?椒ā《晕以?1995年2月至2007年5月收治186例肝內胆管结石患者的临床资料进行回顾性分析。结果主要手术方式:胆管切开取石外引流术57例(30.6%),胆管切开取石空肠内引流58例(31.2%),肝叶或肝段切除加胆道内引流术40例(21.5%)。手术并发症共19例,发生率为10.2%,总死亡率为(2.7%)。结论肝叶(段)切除术是治疗肝内胆管结石的极重要的外科手段,术后应用胆道镜取石,能有效地降低结石复发率。Objective To summarize the experience of surgical management of intrahepatic bile duct stone. Methods From Feb to May 2007, the clinical data of 186 cases of intrahepatic bile duct stone were analyzed retrospectively. Results Of the patients, 57 cases were received calculus removed external drainage （30.6%）, 58 cases were received calculus removed jejunal internal drainage （31. 2%）, and 40 cases were performed hepatectomy combined with biliary tract internal drainage （21.5%）. The postoperative complications were found in 19 cases （10.2%） and 5 cases （2.7%） died after the operation. Conclusion Ilepatectomy is the very important means of surgery in the treatment of intrahepatic bile duct stones. It＇ s effectively decrease the calculus recurrence rate by used choledochoscope post operation.

关 键 词：肝内胆管结石 胆道镜 

分 类 号：R657.4[医药卫生—外科学]