肝胆管结石的手术治疗：附178例报告

目的探讨肝胆管结石的有效治疗方法。方法回顾性分析178例肝胆管结石的手术治疗患者的临床资料。178例中：T管引流术107例（其中并肝左叶或肝方叶切除7例）；胆肠吻合手术71例（其中并肝左外叶或肝方叶切除11例）。结果术后胆管炎复发率分别为49．5％和24％，再手术率分别为28．7％和8％。结论解除胆道狭窄，去除病灶，通畅引流是预防胆管炎复发，减少再手术率的关键。

The surgical treatment of hepatolithiasis: a report of 178 cases

Abstract:Objective:To explore the effective therapeutic methods for hepatolithiasis.
Methods :We retrospectively analyzed the clinical material of 178 hepatolithiasis patients who underwent surgical therapy. Among the 178 patients, 107 patients were treated with T- tube drainage(including 7 patients with left hepatic lobe or quadlrate lobe resection), and 71 patients were treated with bile duct-intestinal anastomosis (including 11 patients with left hepatic lobe or quadrate lobe resection).
Results:Recurrence rate of postoperative angiocholitis in the two groups was 49.5 % and 24 % respectively, and the reoperation rate was 28.7 % and 8 % respectively.
Conclusions:The key to prevent recurrent angiocholitis and reduce the reoperation rate is to relieve biliary tract stricture, remove the focus of infection and provide unobstructed bile duct drainage.