规则性肝段或肝叶切除术治疗复杂性肝内胆管结石疗效观察  

作　　者：舒远猛[1] 蒋传成[1] 黄汉民[1] 

机构地区：[1]怀化市第一人民医院,湖南怀化418000

出　　处：《中外医疗》2012年第8期18-18,20,共2页China & Foreign Medical Treatment

摘　　要：目的观察规则性肝段或肝叶切除术治疗复杂性肝内胆管结石的疗效,为肝内结石病的治疗提供参考依据。方法回顾性分析48例行规则性肝段或肝叶切除术及24例非规则性肝段或肝叶切除术治疗肝内胆管结石患者的临床资料。对比分析手术时间、出血量、并发症发生率、结石清除率及随访优良率。结果观察组出血量、并发症发生率、结石清除率、随访优良率显著优于对照组。结论规则性肝段或肝叶切除术在当前肝内胆管结石的治疗中理想有效。可准确定位结石范围,规则切除病变,尽量保存正常肝组织,保证肝脏功能。Objective Observed the treatment results of rules of liver segment or lobe resection to cure complex intrahepatic bile duct stones,to provide the reference for treatment of intrahepatic stones.Methods Retrospectively analyzed the clinical data of 48 cases with rule liver resection and 24 cases with non-regularity resection to cure intrahepatic bile duct stones.Comparative analyzed the operative time,blood loss,complication rate,stone clearance rate and excellent follow-up rate.Results The observation group’s blood loss、complication rate、stones clearance rate and excellent follow-up rate were significantly better than control group’s.Conclusion Rules of liver segment or lobe resection to cure complex intrahepatic bile duct stones was a effective way.can accurate positioning stone range,rules resection,save the normal liver tissue,ensure the liver function.

关 键 词：规则性肝切除术 肝胆管结石病 手术治疗 

分 类 号：R657.4[医药卫生—外科学]