双侧肝切除治疗复杂性肝内胆管结石32例分析  

Clinical Analysis of Bilateral Hepatectomy for the Treatmemt of 32 Cases with Complicated Hepatolithiasis

作　　者：梁志宏[1] 刘书强[1] 

机构地区：[1]广东省中山市小榄人民医院普外科,广东中山528415

出　　处：《中国医药指南》2011年第21期202-203,共2页Guide of China Medicine

摘　　要：目的探讨双侧肝切除术治疗复杂性肝内胆管结石的效果。方法回顾性分析2005年8月至2010年9月采用双侧肝切除术治疗32例复杂性肝内胆管结石患者的结石部位和分布情况、手术方式、手术后并发症等情况。结果本组无围手术期死亡。全组6例出现手术后并发症（单一或多个并发症）。术后并发症发生率为18.75%。肝内残余结石1例,结石残留率为3.13%（1/32）。随访30例,时间为3个月-5年。总优良率96.7%。结石复发1例。结论合理选择病例,双侧肝切除手术是治疗复杂性肝内胆管结石的安全、有效方法。Objective To investigate the effects of bilateral hepatectomy for the treatmemt of complicated hepatolithiasis.Methods We retrospectively analyzed the clinical dates of 32 patients with complicated hepatolithiasis undergoing bilateral hepatectomy from Aug,2005 to Sep 2010 in our hospital,include stones distribution,operation options,postoperative complication and so on.Results In all 32 cases,there were no perioperative deaths,the postoperative complication was 18.75%（6/32）,the residual stone rate was 3.13%（1/32）.Thirty patients have been followed up from three months to five years,the stone recurrence rate was 3.13%（1/32）,the total effective rate was 96.7%.Conclusion Bilateral hepatectomy is an effective and safe method for complicated hepatolithiasis.

关 键 词：肝内胆管结石 双侧肝切除手术 

分 类 号：R575.62[医药卫生—消化系统]