摘要
目的总结肝内胆管结石综合治疗方法及其效果。方法回顾性分析1998～2005年我院收治复杂肝内胆管结石153例的临床资料，统计结石的分布、术式的选择、术后并发症、残石率等情况及治疗效果。结果153例中发生术后并发症37例（24．2％），术后围手术期死亡4例（2．62％），合并胆管狭窄123例（80．4％），残石残留35例（残石率22．9％）；153例共81例获得0．5—10年随访，术后症状完全消失，恢复正常生活和工作者57例（占70．4％），术后偶有上腹不适，但不影响生活工作者17例（占20．9％）；结石复发率8．6％（7／81）。结论肝段（叶）切除联合其他手术是治疗复杂肝内胆管结石较为理想而有效的手术方式。
Objective To evaluate the effect of treatment for complicated intrahepatic cholelithiasis. Methods In this study,153 patients suffering from intrahepatie bile duct stones underwent surgical treatment from 1998 to 2005. Stones distribution, operation modality,postoperative complication, residual stone and therapeutic effect were evaluated. Results Postoperative complications occurred in 37 cases （24. 2% ） , mortality in 2. 62% ,limited intrahepatic bile duct in 80. 4% ,residual stone in 35 cases（22.9%）. A follow up of 0. 5 to 10 years was achieved in 81 patients. Fifty-seven （70.4%） cases recovered with normal routine life and working ability. Seventeen cases （ 20. 9% ） showed occasional epigastric discomfort. Stone recurrence in 8. 6% （ 7/81 ）. Conclusion The combined hepatic resection and other operation is an ideal and effective surgical method to treat complicated intrahepatic cholelithiasis.
出处
《实用医院临床杂志》
2009年第5期95-97,共3页
Practical Journal of Clinical Medicine
关键词
胆结石
肝切除术
治疗结果
Cholelithiasis
Hepatectomy
Treatment outcome
