手术治疗复杂性肝内胆管结石的临床分析  

CLINICAL ANALYSIS OF SURGICAL TREATMENT OF COMP LICATED INTRAHEDPATIC BILE DUCT STONE

作　　者：吴杨[1] 黄强[1] 胡元国[1] 王成[1] 邱陆军[1] 邵峰[1] 谢放[1] 

机构地区：[1]安徽医科大学附属省立医院,合肥230001

出　　处：《肝胆外科杂志》2012年第5期355-356,共2页Journal of Hepatobiliary Surgery

摘　　要：目的探讨手术治疗肝内胆管结石的方法及临床疗效。方法回顾性分析2001年4月-2010年7月复杂肝内胆管结石46例的临床资料,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,采用双侧规则性肝段或肝叶切除术手术方式,46例中发生术后并发症12例(26.08%),残石残留15例(32.6%);结石复发率为2.1%。结论双侧规则性肝段或肝叶切除术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 of bilateral segementectomy/sectionectomy and the effect of treatment of com- plicated intrahepatic bile duct stone. Methods Forty-six patients with intrahepatic bile duct stone were received surgical treatment from 2001 to 2010 . Operation methods, postoperative complication and residual stone rate were evaluated. Results The rate of post- operative complication was 26.08%, the residual stone rate was 32.6% and stone recurrence rate was 2. 1%. Conclusion Bilateral segementectomy/sectionectomy is safe for patient with intrahepatic stone and its long-term outcomes are satisfactory.

关 键 词：肝内胆管结石 双侧 肝切除 

分 类 号：R657.4[医药卫生—外科学]