复杂性肝内胆管结石126例临床分析  

CLINICAL ANALYSIS OF SURGICAL TREATMENT FOR 126 CASES WITH COMPLICATED INTRAHEPATIC BILE DUCT STONE

作　　者：王弼[1] 

机构地区：[1]福建医科大学附属协和医院肝胆外科,福建福州350001

出　　处：《河北医科大学学报》2010年第7期756-758,共3页Journal of Hebei Medical University

摘　　要：目的探讨治疗肝内胆管结石的方法及临床疗效。方法回顾性分析2001-2009年复杂肝内胆管结石126例的临床资料,统计结石的分布、术式的选择、术后并发症、残石率等情况及治疗效果。结果根据手术探查的胆管狭窄部位及范围和结石状况,采用不同的手术方式,126例中发生术后并发症30例(23.81%),残石残留29例(23.02%);结石复发率为5.56%(6/108)。结论肝段(叶)切除联合其他手术是治疗复杂肝内胆管结石较好而有效的手术方式。Objective To investigate the method and effect of treatment for complicated intrahepatic bile duct stone. Methods One hunderd and twenty -six patients with intrahepatic bile duct stones were received surgical treatment from 2001 to 2009. Stones distribution, operation options, postoperative complication, residual stone rate, and therapeutic effect were evaluated. Results The postoperative complication was 23.81% （30/126） ,residual stone rate was 23.02% （29/126） and stone recurrence rate was 5.56% （6/108）. Conclusion Combined hepatic segmentectomy and other operation is an ideal and effective surgical method to treat complicated intrahepatic bile duct stone.

关 键 词：胆结石 肝切除术 治疗结果 

分 类 号：R657.42[医药卫生—外科学]