肝切除治疗肝胆管结石153例分析

目的探讨肝切除治疗肝胆管结石的疗效。方法回顾性分析2007年10月至2013年10月肝切除治疗肝胆管结石153例的临床资料,统计结石的分布、术式的选择、术后并发症情况及治疗效果。结果 153例中发生术后并发症45例(29.4%),无手术死亡病例,139例患者得到2个月至6年的随访,随访率90.8%,术后疗效优良率89.4%,残留结石率9.3%,结石复发率12.9%。结论肝切除是治疗肝胆管结石最有效的手段之一。

Analysis of hepatectomy for hepatolithiasis in 153 cases

Objective To investigate the method and effect of hepatectomy for the patients with hepatolithiasis. Methods Rtrospective study was made on 153 patients with hepatolithiasis underwent hepatectomy from Oct 2007 to Oct 2013. Stones distribu- tion,operation modality, postoperative complication and therapeutic effect were evaluated. Result Postoperative complications occurred in 45 eases（29.4）, mortality was zero. A follow up time ranged from 2 months to 6 years in 139 eases（90.8% ）, with excellent or good result in 89.4% , residual stone in 9.3 % , and stone recurrence in 12.9%. Conclusion Hepatectomy is one of the most effective treatments for hepatolithiasis.