术前胆道引流对肝胆管结石合并胆汁性肝硬化的作用

Effect of preoperative biliary drainage for hepatolithus with biliary cirrhosis

目的探讨肝胆管结石合并继发性胆汁性肝硬化病人,在进行肝叶切除手术前行胆道引流(PBD)的作用。方法回顾性分析67例行肝叶切除治疗合并继发性胆汁性肝硬化的肝胆管结石病例,其中PBD组35例均行术前胆道引流,非PBD组32例未行术前胆道引流,将两组的肝功能变化、结石清除率、并发症发生情况等进行比较分析。结果PBD组的术前肝功能较入院前有所改善,术中结石清除率高于非PBD组,两组的手术并发症发生情况无显著差异。结论术前胆道引流虽然没有减少手术并发症,但可以改善术前肝功能,增加结石清除率。

Objective To explore the effect of biliary drainage before hepatic resection for biliary liver cirrhosis complicated with intrahepatic stones. Methods Totally 67 cases of biliary liver cirrhosis complicated with intrahepatic stones were derided into two groups. Thirty-five cases with preoperative biliary drainage for one group and 32 cases without preoperative biliary drainage for the other. Compared the two groups on hepatic function, stone clearance rate and operation complication. Results Preoperative biliary drainage can improve hepatic function and stone clearance rate. Conclusion Preoperative biliary drainage can not reduce operation complication,but it can improve hepatic function and stone clearance rate.