肝尾状叶胆管结石的诊断与治疗(附98例报告)

Diagnosis and surgical treatment of bile duct stone of caudate lobe

目的:探讨肝尾状叶胆管结石的诊断与外科治疗。方法:对98例肝尾状叶结石患者的诊断与治疗进行回顾性总结。结果:术前确诊42例,确诊率42.9%。全组无手术死亡,术后7例结石残留,残石率7.1%。随访81例,其中10例结石复发,复发率12.3%。结论:加强对肝尾状叶胆管结石的认识、术前影像学检查与术中探查相结合是提高诊断准确率、减少误诊漏诊的关键;并按个体化原则选择治疗方案。

Objective： To explore the diagnosis and surgical treatment for cholelithiasis of caudal lobe of liver. Methods： The data of 98 patients with cholelithiasis of caudal lobe were reviewed. Results： 42 cases （43% ） got preoperative diagnosis. No cases died during operation.7cases had residual stones,the rate of which was 7.1% . The stones recurred in 10 cases and the rate was 12.3% . Conclusion： Understanding the disease, the preoperative image examination combining with introperative exploration are important to decrease the misdiagnosis and increase the rate of diagnosis.The surgical treatment should follow the principle of individualized therapy.