肝叶（段）切除术治疗肝内胆管结石  

Hepatectomy for calculus of intrahepatic duct

作　　者：黎锐和 李建强 李永浩 招雄民 区文辉 Li Ruihe Li jianqiang Li yonghao Zhao Xiongmin Ou Wenhui. （Department of Surgery , Huangpu General Hospital of zhongshan city , zhongshan 528429 , china）

机构地区：广东省中山市黄圃人民医院,广东中山528429

出　　处：《中外健康文摘：医药月刊》2008年第4期34-35,共2页

摘　　要：目的探讨肝叶（段）切除术治疗肝内管结石的疗效。方法对肝内胆管结石采用肝叶切除术,手术方式包括：右半肝切除、肝方叶切除术、左肝外叶加右肝段切除术、左半肝切除术和右后叶切除术。结果无手术死亡,肝内胆管结石残留12例,残留率约11%。结论肝叶切除术是治疗肝内胆管结石的理想方法,结石残留率低,肝叶（段）切除术是目前治疗原发性肝内胆管结石症的理想术式。Objective To discuss the effect of hepatectomy for calculus of intrahepatic duct. Methods Hepatectomieswere performed in 102 patients with calculus of intrahepatic duct , which included right hemihepatectomies , resections ofhepatic lobus quadratus , left lateral segmentectomy combined with segmentectomy of right liver , 3 resections of rightposterior lobe. Results No death occurred , 29 cases had postoperative complications , and 12 patients had residualstone. The incidence of residual stone was 11%. Conclusions Hepatectomy is an ideal treatment for calculus of intrahepatic duct which has lowincidence of residual stone.

关 键 词：肝胆管结石 肝叶切除术 治疗效果 

分 类 号：R575.7[医药卫生—消化系统;医药卫生—临床医学;医药卫生—内科学]