肝部分切除术治疗肝内胆管结石的临床分析  

Clinical analysis of partial liver resection for hepatolithiasis

作　　者：魏敬妙[1] 李新省[1] 赵福霞[1] 武力霞[1] 赵雪峰[2] 

机构地区：[1]河北医科大学第四医院肝胆外科,河北石家庄050011 [2]河北医科大学第四医院普通外科,河北石家庄050011

出　　处：《中国普通外科杂志》2013年第2期150-152,共3页China Journal of General Surgery

摘　　要：目的:比较规则性肝段(叶)切除术及非规则性肝段(叶)切除术治疗肝内胆管结石的临床疗效。方法:将96例肝内胆管结石患者随机分为观察组与对照组,每组48例。观察组行规则性肝段(叶)切除术,对照组行非规则性肝段(叶)切除术,比较两组患者的手术时间、术中出血量、术后并发症发生率、结石残留率、结石复发率及二次手术率情况。结果:两组患者手术过程均顺利,安全度过围手术期,无死亡。两组患者手术时间比较,差异无统计学意义(P>0.05),但观察组术中出血量、术后并发症的发生率、结石残留率结石复发率及二次手术率均明显低于对照组(均P<0.05)。结论:肝部分切除术治疗肝内胆管结石临床治疗效果好,且手术方式以规则性肝段(叶)切除术为佳。Objective： To compare the clinical efficacy between anatomical segmentectomy/lobectomy and nonanatomical segmentectomy/lobectomy in treatment ofintrahepatic bile duct stones. Methods： Ninety-six patients with intrahepatic bile duct stones were randomly divided into observation group and control group with 48 cases in each group. Patients in observation group underwent anatomical segmentectomy/lobectomy, while those in control group received non-anatomical segmentectomy/lobectom）n The operative time, intraoperative blood loss, incidence of postoperative complications and rates of residual and recurrent stones and reoperation of the two groups were compared. Results： Operations were performed successfully in all patients, and all of them experienced a smooth perioperative period. No death occurred. The operative times between the two groups showed no statistical difference （P〉0.0S）, but the intraoperative blood loss, incidence of postoperative complications, rates of residual and recurrent stones and reoperation in observation group were all significantly lower than those in control group （all P〈0.05）. Conclusion： Partial liver resection is effective for intrahepatic bile duct stones and anatomical segmentectomy/lobectomy is the preferred procedure.

关 键 词：胆结石 外科学 肝切除术 方法 胆管 肝内 

分 类 号：R657.4[医药卫生—外科学]