摘要
目的 探讨肝切除治疗肝胆管结石的疗效。方法 回顾性分析了 1985年 1月～ 2 0 0 2年 12月 6 4例肝胆管结石采用肝切除治疗的术式和治疗效果。结果 肝切除治疗肝胆管结石占整个手术治疗病人的31.84 %。其中左外叶切除 38例 ,占 5 9.3% ;左半肝切除 7例 ,占 10 .9% ;肝方叶切除 11例 ,占 17.2 % ;右半肝及右肝段切除 8例 ,占 12 .5 % ;附加胆肠吻合术 2 3例 ,占 35 .9%。手术并发症 8例 ,占 12 .5 %。无手术死亡。5 9例 (92 .1% ) 1～ 17年随访 ,平均随访 8.6年 ,优良率 88.1%。结论 肝切除治疗肝胆管结石是最有效的治疗手段 ,其中早期的肝切除治疗效果最佳。
Objective:To investigate the therapeutic effect of hepatic lobectomy or segmentectomy on intrahepatic lithiasis.Methods: The clinical data of 64 patients with intrahepatic lithias is treated by hepatic lobectomy or segmentectomy in our hospital from February 1985 to February 2002 were retrospectively analyzed.Results: These 64 patients accounted for 31.84% of those receiving operation in that period of time. Amongst the 64 patients, 38(59,3%) were treated with left lateral lobectomy, 7(10.9%) with left semihepatectomy,11(17.2%) with quadrate,lobectomy and 8(12.5%) with right hemihepatectomy or segmentectomy. In 8 patients (12.5%) and not died. The follow-up study conducted in 59 patients for an average of 8.6 yr showed that excellent results were achieved in 88.5%of the patients.Conclusions: Regular partialhepatectomy is the most effective treatment for intrahepatic lithiasis and its earlier use results in better outcome.
出处
《中国现代医学杂志》
CAS
CSCD
2004年第4期128-130,共3页
China Journal of Modern Medicine
关键词
胆结石
肝切除术
cholelithiasis
hepatectomy
