摘要
１９８３年１月至１９９４年１２月共手术治疗肝内胆管结石７４９例，其中左肝内胆管结石３４７例（４６．３３％）．肝胆管狭窄占６４．８２％，肝胆管癌占１．４７％。肝叶或肝段切除３７３例（４９．８０％），其中左肝叶或肝段切除占８９．９１％。在各术式中，肝叶或肝段切除优于其它术式，效果相差非常显著（Ｐ＜０．００５）。术后残石率较高，占３０．２５％，但左肝内胆管结石和肝叶或肝段切除后残石率较低，分别为１９．０２％和１９．９４％。肝叶或肝段切除术后并发膈下感染和胆瘘较多，重视其发生原因、加强预防措施，将会明显降低发生率。
Seven hundred and forty-nine cases of intrahepatic lithiasis were surgically treated in our unit in the period from January 1983 to Dtcember 1994.Among the 749 cases,intrahepatic duct stricture was found in 486 cases and cholangiocarcinoma in 10 cases.373 cases were treated with lobectomy or segmentectomy of the liver and left hemihepatectomy or segmentectomy accounted for 89.91%.The therapeutic effciency of lobectomy and segmentectomy was superior to that of any other surgical procedures(P<0,005).The overall rate of residual stone was 30.25%but that was only 19.02%and 19.94% after lobectomy or segmentectomy respectively.Subphrenic infection and biliary fistula were the frequent combplications after hepatectomy and their incidence could be minimized when preventive measures was employed.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
1996年第1期59-61,共3页
Journal of Third Military Medical University
关键词
肝内
胆管狭窄
胆结石
外科手术
intrahepatic lithiasis
stricutre/bile duct
lobectomy
biliarointestinal anastomosis
