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手术治疗肝内胆管结石68例疗效观察
引用本文:李海洲,.手术治疗肝内胆管结石68例疗效观察[J].中国医学工程,2008,16(1):59-61.
作者姓名:李海洲  
作者单位:河南省新乡市西工区中铝医院,外科,河南,新乡,453834
摘    要:目的探讨手术治疗肝内胆管结石的适宜方法及其疗效。方法该院于2002年7月~2007年12月共收治肝内胆管结石患者68例,施行肝叶(段)切除术13例,肝门胆管切开取石+高位胆管空肠Roux-en-y吻合术15例,肝叶(段)切除+胆管空肠Roux-en-y吻合术9例,单纯胆总管切开取石+T管引流术31例,术中胆道镜取石21例、术后胆道镜取石13例。结果术后有61例获得6个月~3年随访,其中优30例,良24例,差7例,优良率88.5%,术后残余结石11例(16.2%),经术后胆道镜结合液电碎石治愈10例,再次手术1例,胆瘘2例,伤口感染3例,膈下脓肿1例,均经非手术治疗痊愈。未发生手术死亡。结论肝叶(段)切除+胆肠吻合引流术或T管引流术+术中胆道镜治疗肝内胆管结石能提高疗效、降低残石率、减少并发症,术后胆道镜取石是治疗胆道残石的重要措施。

关 键 词:肝内胆管结石  肝切除术  胆道残石  胆道镜
文章编号:1672-2019(2008)01-0059-02
修稿时间:2007年10月27

Curative effect of surgical treatment for hepatolithiasis in 68 cases
LI Hai-zhou.Curative effect of surgical treatment for hepatolithiasis in 68 cases[J].China Medical Engineering,2008,16(1):59-61.
Authors:LI Hai-zhou
Institution:LI Hai-zhou (Department of Surgery,Zhonglv Hospital of West Industrial District in Xinxiang,Xinxiang,Henan 453834,P.R.China)
Abstract:Objective To explore the optimal methods and curative effect of surgical treatment for hepatolithiasis. Methods Of the 68 patients with hepatolithiasis who were hospitalized in our hospital from June 2002 to December 2007,13 cases received hepatolobectomy(hepatic segmentectomy),15 cases received hepaticolithotomy plus Roux-en-Y cholangiojejunostomy and 9 received hepatolobectomy (hepatic segmentectomy) plus Roux-en-Y cholangiojejunostomy. Simple choledochotomy and calculus removal plus T-tube drainaged in 3...
Keywords:hepatolithiasis  hepatectomy  debris in biliary tract  choledochoscopy  
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