摘要
目的 探讨肝胆管残余或再生结石外科治疗方法,旨在提高该病的治疗水平.方法 回顾性分析近5年136例行以肝切除为主的联合手术治疗肝胆管残余或再生结石患者临床资料.结果 术后死亡1例（0.7%）,胆漏6例（4.4%）,膈下脓肿2例（1.5%）,其余正常.全组随访时间2.5～8.3年,115例（84.6%）无自觉症状,6例（4.4%）有胆道感染表现,6例（4.4%）仍有残余结石,9例（6.6%）于术后2～5年出现结石复发.结论 肝胆管结石患者应采用肝切除为主的联合手术,并配合术中纤维胆道镜及术中B超定位取石,有利于提高疗效.
Objective To discuss the method of the surgical treatment for retained and regenerate hepaticolithiasis, and to improve the theraputic level. Methods In recent 5 years,in our hospital,136 cases of retained and regenerate hepaticolithiasis were treated by combination of hepatolobectomy with other operation, and these cases were analyzed retrospectivly. Results One patient died after operation （0. 7%）,8 patients had other complications including： biliary fistuta（6 cases, 4.4%）, subphrenic abscess （2 cases,1.5%）. All cases were visited for 2.5 - 8.3 years, 115 （84.6%） cases had not any symptom, 6 （4.4%）cases had infection of biliary tract, 6（4.4%） cases had retained calculus, 9（6.6%） cases recurred calculus 2 -5 years after operation. Conclusion Retained and regenerate hepaticolithiasis should be treated by combination of hepatolobectomy with other operation and fiber choledochoscope and B ultrasound of operation, which can increase therapeutic effect.
出处
《国际外科学杂志》
2011年第4期232-234,共3页
International Journal of Surgery
