精准肝切除在肝内胆管结石中的应用探讨  

Application of Precise Liver Resection Method in Hepatolithiasis

作　　者：史正军 程刚[2] 

机构地区：[1]湖南省汨罗市人民医院,湖南汨罗414400 [2]湖南省石门县人民医院

出　　处：《中国医学创新》2015年第14期127-129,共3页Medical Innovation of China

基　　金：湖南省卫生厅科研基金计划课题(X2011-030);湖南省科技厅科技计划项目(2014SK3247)

摘　　要：目的：探讨精准肝切除术对肝内胆管结石患者的疗效。方法：回顾性分析本院2010年10月-2014年12月行肝叶切除治疗肝内胆管结石患者共86例的临床资料。结果：手术时间（242±42.2）min，术中出血量（312±64.3）mL，住院时间（16.4±4.2）d。术后1例患者出现切口感染，胸腔积液5例，胆漏2例，经对症治疗后治愈，随访1~24个月，结石复发2例。结论：精准肝切除治疗肝内外胆管结石是一种有效的方法，达到手术安全性、治疗有效性以及干预微创化的统一，术后并发症发生率低，结石复发率低，值得临床推广应用。Objective：To explore the clinical effects of precise liver resection method in hepatolithiasis. Method：86 cases with hepatolithus underwent hepatectomy from Octomber 2012 to December 2014 were reviewed retrospectively.Result：Operative time was （242±42.2）min, blood loss was （312±64.3）mL, hospital stay was （16.4±4.2）d, among the patients, 2 cases of bile leakage, 1 case infection of the wound,5 case of pleural effusion,all patients were cured.The time following-up activities were 1 to 24 months,2 cases of recurrence stones.Conclusion：Precise liver resection method is an effective treatment for choledochotomy with a low rate of complications and recurrent stone,it is worth of clinical application.

关 键 词：结石外科学 肝切除术方法 胆管 

分 类 号：R657.3[医药卫生—外科学]