肝切除联合纤维胆道镜治疗肝胆管结石34例

目的:观察肝胆管结石应用肝切除、纤维胆道镜联合治疗的临床效果。方法:对采用肝切除并术中配合应用纤维胆道镜治疗的34例患者资料作以回顾总结。结果:34例患者围手术期无1例患者死亡或出现肝功能衰竭,术后有切口感染者3例,合并肺部感染者2例,出现胆漏者1例。34例患者平均随访时间(3.2±0.5)年,结石残留率8.8%,结石复发率11.8%。结论:肝切除、纤维胆道镜联合治疗肝胆管结石,术后结石残留率低、复发较少,是一种有效治疗手段。

Clinical Analysis of 34 Cases of Hepatolithiasis Treated by Hepatectomy and Choledochoscopy

Objective: To discuss the clinical effects of hepatolithiasis treated by hepatectomy and choledochoscopy.Method:The clinical datas of 34 cases of hepatolithiasis treated by hepatectomy and choledochoscopy were reviewed.Result: There was no death,no liver failure during operation,3 cases infected,2 cases with pulmonary infection,1 case with biliary leakage.34 cases were followed-up for the average time of(3.2±0.5)years,the rate of remaining bile ducts stone was 8.8%,the rate of stone recurred was 11.8%.Conclusion:Hepatolithiasis treated by hepatectomy and choledochoscopy has low rate of remaining bile ducts stone and stone recurred,combination hepatectomy with choledochoscopy for the treatment fo hepatolithiasis is an effective method.