肝胆管结石合并胆管狭窄行肝叶切除的疗效分析  

Curative Effect of Hepatic Lobectomy in the Treatment of Hepatolith Combined with Bile Duct Stricture

作　　者：曾剑芳 

机构地区：[1]湖南省邵东县人民医院,湖南邵阳422000

出　　处：《临床医学工程》2015年第2期190-191,共2页Clinical Medicine & Engineering

摘　　要：目的探讨肝叶切除治疗肝胆管结石合并胆管狭窄的临床疗效。方法回顾性分析2009年8月至2012年8月在我院行肝叶切除手术治疗的68例肝胆管结石合并胆管狭窄患者的临床资料。结果本研究所有患者的手术均获得成功,全部随访2个月~2年。61例（89.7%）患者远期疗效优良,53例（77.9%）患者完全没有症状,6例（8.8%）患者偶有轻度胆管炎,2例（2.9%）患者复发肝胆管结石。术后发生并发症8例（11.8%）,其中胆瘘1例,肝内胆管残余结石2例,切口感染4例,胆道出血1例。结论肝叶切除术可有效缓解肝胆管结石患者的临床症状,具有并发症少、结石残留率低、复发率低、安全可靠等优点,值得临床推广应用。Objective To investigate the clinical effect of hepatic lobectomy in the treatment of hepatolith combined with bile duct stricture. Methods Data of 68 cases of hepatolith patients with bile duct stricture treated with hepatic lobectomy in our hospital from August2009 to August 2012 were retrospectively analyzed. Results The operation of the study was successful, all the patients were followed-up for2 months ~ 2 years. Of 68 patients, 61 cases showed excellent or good results with a rate of 89.7%, 53 cases（77.9%） were completely asymptomatic, 6 cases（8.8%） had occasional mild cholangitis, 2 cases（2.9%） relapsed hepatolith. 8 cases（11.8%） showed postoperative complications, with biliary fistula in 1 case, remaining intrahepatic bile duct stones in 2 cases, incision infection in 4 cases and hemobilia in 1case. Conclusions Hepatic lobectomy can effectively relieve the clinical symptoms of hepatolith patients with less complications, low residual stone rate and low recurrence rate, which is safe and reliable and worthy of promotion in clinic.

关 键 词：肝胆管结石 肝胆管狭窄 残留结石 肝叶切除 

分 类 号：R657.4[医药卫生—外科学]