肝叶切除术联合胆道镜治疗肝胆管结石65例

A Clinical Study on the Effects of Hepalobectomy Combined with Choledochoscope on Hepatolith

目的探讨肝叶切除术联合胆道镜治疗肝内胆管结石的安全性与有效性。方法回顾性分析我院2005年2月至2012年6月收治的65例行肝叶切除术治疗的肝内胆管结石患者的临床资料。结果 65例手术均顺利完成,最终总胆道结石清除率为95.4%,结石残余4.6%;术后出现并发症者10例(15.2%);术后复查结石复发5例(7.7%)。结论明确肝内胆管结石的分布,严格把握适应症,肝叶切除术治疗肝内胆管结石疗效明显,而且能减少术后残余结石、结石复发等风险。

Objective To investigate the safety and effectiveness of hepalobectomy for hepato- lith.Metheds A review was made on the clinical data of 65 patients with hepatolith treated with hepalobectomy from Feb 2005 to Jun 2012.Results All operations were performed successfully. The total biliary calculi clearance rate was 95.4% and the residual rate of calculus was 4.6%.10 cases（15.2%） had complications and 5 cases recurrence of calculus postoperative.Cenclusien Clear the distribution of the bile duct stone, grasp the indications strictly,the effect of hepalo- bectomy for hepatolith was obvious, and reducing the residual rate of calculus and recurrent risk.