解剖性肝切除治疗肝内胆管结石的临床分析  

Evaluating the applicative value of anatomic hepatectomy in operation of intrahepatolithiasis

作　　者：胡宇[1] 余继海[1] 葛永胜[1] 马金良[1] 荚卫东[1] 许戈良[1] 

机构地区：[1]安徽省立医院普外科,合肥230001

出　　处：《肝胆外科杂志》2014年第5期346-348,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨解剖性肝切除术在肝内胆管结石手术中的应用价值。方法对101例因肝内胆管结石的病人的临床资料进行回顾性分析.其中46例行解剖性肝切除,55行非解剖性肝切除。结果解剖性肝切除组术中出血量(P=0.000)及术后住院时间明(P=0.003 3)显少于非解剖性肝切除组。同时随访2年,解剖性肝切除组结石复发率较非解剖性肝切除组要明显低(P=0.032)。结论肝内胆管结石再次手术时应用解剖性肝切除术能有效减少术后结石残留率,安全可行。Objective To evaluate the applicative value of anatomic hepatectomy in operation of intrahepatolithiasis. Methods The clinical data of 101 patients with intrahepatolithiasis were analyzed retrospectively. 46 of 101 patients were treated by anatomic hepatectomy. 55 of 101 patients were treated by non-anatomic hepatectomy. Results Blood loss （ P = 0. 000） and post operative hospital stay （P = 0. 0033 ） of anatomic hepatectomy group were significant less than non-anatomic hepatectomy group. During 2 years follow-up, the stone recurrence rate of the anatomic hepatectomy group was lower than the non-anatomic hepatectomy （P = 0. 032）. Conclusion The application of anatomic hepatectomy in operation of intrahepatolithiasis could effectively reduce the rate of residual stone after surgery, and it is safe and feasible.

关 键 词：肝内胆管结石 解剖性肝切除 肝切除术 复发率 正常肝组织 胆总管 残留率 肝叶 肝创面 肝段 

分 类 号：R657.4[医药卫生—外科学]