摘要
目的：探讨肝内胆管结石外科治疗的方法，旨在提高该病的治疗水平。方法：回顾性分析近13年来112例行以肝段切除为主的联合手术治疗的肝内胆管结石患者的l临床资料。结果：术后围手术期死亡2例（1．7％），其他并发症ll例（9．8％）：肺部感染3例（2．6％），胆漏6例（5．3％），膈下脓肿2例（1．7％）。全组随访时间O．5～8．2年，95例无自觉症状（84．8％），7例（6．2％）有胆道感染k,-现，4例（3．5％）于I或Ⅶ段仍有残余结石，6例（5．3％）于术后2～5年出现结石复发。结论：肝内胆管结石患者应采用肝段（叶）切除联合高位胆管切开取石、肝胆管空肠吻合手术，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 intrahepaticolithiasis, and to improve the theraputic level. Method： In recent 13 years,in our hospital, 112 cases of intrahepaticolithiasis were treated by combination of hepatolobectomy with other operation, and these cases were analyzed retro- spectivly. Result： Two patients died after operation （ 1.7% ） , 11 patients had other complications including ： pulmonary infection （ 3 cases 2.6% ） , biliary fistuta （ 6 cases 5.3 % ） , subphrenic abscess （ 2 cases 1.7% ）. All cases were visited for0.5-8.2 years,95 （84.8% ） eases had not any symptom, 7（6.2% ） cases had in- fection of biliary tract,4（3.5%） cases had retained calculus in I or VII section, 6（5.3% ） cases recurred calculus 2 -5 years after operation. Conclusion： Intrahepaticolithiasis should be treated by combination of hepatolobectomy with cholangio- ieiunostomv and other ooeration.which can increase theranentic affect
出处
《河北医学》
CAS
2007年第2期151-153,共3页
Hebei Medicine
关键词
胆结石
肝内胆管
胆道纤维镜术
Calculus
Hepatobiliary duct
Hepatolobectomy with cholangio - jejunostory
