肝叶切除术在肝内胆管结石治疗中的作用

目的 分析肝叶切除术治疗肝内胆管结石的疗效。方法 30例肝内胆管结石的病人随机分成两组 ,15例行肝叶切除术 ,另15例行胆总管切开取石、T管引流术。对2组进行比较总结。结果 行肝叶切除的 ,术后残石2例 (9.5% ) ,经术后胆道镜取净。行胆总管切开术的 ,术后残石15例(100 %) ,经术后胆道镜 ,仍有4例未取净。随访结果表明 :肝叶切除术优良率为80% ,胆总管切开术的优良率为33.3%。P<0.05。结论 对肝内胆管结石的治疗首选肝叶切除术 ,它是一种安全有效的手术方法。

Lobectomy of liver in treating hepatolithiasis

Objective To study the efficacy of lobectomy of liver in treating hepatolithiasis. Methods 30 cases of hepatolithiasis patients were divided randomly into following two groups: 15 did lobectomy of liver, 15 did choledocholithotomy. Results In the former group, 2 cases (9.5%) had remaining calculi, and all calculi were taken out by endoscope of biliary tract, 80 % cases had excellent results. All of those who did choledocholithotomy had remaining calculi, and with the help of endoscope, 4 cases still had remaining calculi, only 33.3% cases had excellent results. Conclusion Lobectomy of liver was safe and the first choice in treating hepatolithiasis.