左肝内胆管结石患者采用左肝外叶切除与纤维胆道镜取石术治疗的临床研究  

Clinical Study of Left Extrahepatic Lobectomy and Choledochoscopy in the Treatment of Left Intrahepatic Bile Duct Stones

作　　者：李英锋 

机构地区：[1]潜江中心医院普外科,湖北潜江433100

出　　处：《中国继续医学教育》2017年第24期86-87,共2页China Continuing Medical Education

摘　　要：目的探析左肝内胆管结石患者采用左肝外叶切除与纤维胆道镜取石术联合应用的治疗价值,为左肝内胆管结石患者的手术治疗提供帮助。方法将2010年1月—2017年1月于我院进行手术治疗的左肝内胆管结石患者63例作为本文研究对象,将33例行左肝外叶切除+胆总管切开联合治疗的患者纳入常规组,而剩下的30例患者纳入治疗组。结果治疗组患者术中出血量、手术时间、术后结石残余率、治疗优良率、术均明显优于常规组,差异有统计学意义(P<0.05)。结论与传统的左肝外叶切除+胆总管切开联合治疗相比较,左肝内胆管结石患者接受切除所取得的临床效果更加确切,手术安全有效。Objective To explore the value of combined application of left hepatic lobectomy and choledochoscopy in the treatment of patients with left intrahepatic bile duct stones, and to provide help for the surgical treatment of patients with hepatolithiasis. Methods From January 2010 to January 2017 in our hospital for surgical treatment of left hepatic bile duct stones were sclected as the research object, 33 cases of left hepatic lobe resection plus choledochotomy combined treatment of patients in the conventional group, and the remaining 30 patients were included in the treatment group. Results The amount of bleeding, operation time, residual rate of stone, good rate of treatment and operation were significantly better in the treatment group than those in the conventional group, with statistical diference （P 〈 0.05）. Conclusion Compared with traditional left hepatectomy combined with common bile duct incision, the clinical efect of resection of hepatolithiasis in left intrahepatic bile duct is more exact, and the operation is safe and efective.

关 键 词：左肝内胆管结石 纤维胆道镜取石术 左肝外叶切除 

分 类 号：R575[医药卫生—消化系统]