肝部分切除结合胆道镜治疗肝内胆管结石临床分析

目的总结肝部分切除合并胆道镜治疗肝胆管结石的经验及疗效。方法回顾性分析池州市人民医院2000年1月-2007年12月肝部分切除合并胆道镜治疗肝胆管结石101例的治疗方法和疗效。结果根据肝内结石的分布范围决定肝切除的范围，全组术中均使用胆道镜检查及取石。术后全组无死亡病例，发生切口感染21例（占20．8％），胆漏6例（占5．9％），膈下脓肿3例（占2．9％）。手术后疗效优良者50例，优良率81．9％。结石复发11例，占18％。结论肝部分切除合并胆道镜的使用是治疗肝胆管结石的有效手段，可减低术后残石及结石复发率，且并发症少。

Clinical Analysis of Partial Hepatectomy with Choledochoscopy for Hepatolithiasis

Objective To evaluate the clinical effects of partial hepateetomy with choledochoseopy for hepatolithiasis. Methods 101 patients with hepatolithiasis treated with partial hepateetomy assisted by choledochoscopy in our hospital from Jan,2000 to Dee,2007 were analyzed retrospectively. Results The ranges of partial hepatectomy were determined by the distribution of intrahepatie calculus. Meanwhile partial hepatectomy was assisted by choledochoscopy. There was no death after operation. The incidence of ineison infection, biliary leakage, residual fluid under the diaphragm were 20.8% （21/101）, 5.9% （6/ 101 ） and 2.9% （3/101） respectively. Excellent outcome was found in 50 patients （81.9%） and recurrence was seen in 11 （ 18% ）. Conclusion Partial hepatectomy with eholedoehoscopy was effective for treatment of hepatolithiasis.