肝切除治疗肝内胆管结石的疗效

目的评价肝切除术治疗肝内胆管结石的疗效。方法回顾性分析我院手术治疗的169例肝内胆管结石患者的临床资料。根据患者接受手术方式的不同分为肝切除组（n=105）和无肝切除组（n=64），比较两组的手术并发症、术后残余结石率和治疗效果。结果肝切除组与无肝切除组间术后并发症发生率和病死率差异无统计学意义，而肝切除组术后结石残余率（7．1％）明显低于无肝切除组（34．5％），且肝切除组优良率（90．8％）明显高于无肝切除组（70．7％）。结论肝切除术治疗肝内胆管结石安全、有效，且残余结石率明显降低。

Therapeutic effect of hepatectomy for hepatolithiasis

Objective To evaluate the therapeutic effects of hepatectomy for hepatolithiasis. Methods The clinical datas of 169 patients who underwent surgery for hepatolithiasis at our hospital were retrospectively analyzed. All the patients were divided into hepatectomy group （n = 105 ） and non - hepatectomy group （n = 64） according to surgical procedures. The postoperative mortality, postoperative residual stone rate and outcome between both groups were compared. Results There was no significant difference in postoperative morbidity and mortality between hepatectomy group and non -hepatectomy group. However, hepatectomy group had lower postoperative residual stone rate （7.1% vs 34.5% ） and higher rate of excellent or good outcome （90.8% vs 70.7% ） compared with non - hepatectomy group. Conclusions Appropriate hepatectomy is a safe and effective procedure for hepatolithiasis and can decrease the postoperative residual stone rate.