肝叶切除术在肝内胆管结石治疗中的作用

Lobectomy of liver in treating hepatolithiasis

目的 分析肝叶切除术治疗肝内胆管结石的疗效。方法 30例肝内胆管结石的病人随机分成两组 ,15例行肝叶切除术 ,另15例行胆总管切开取石、T管引流术。对2组进行比较总结。结果 行肝叶切除的 ,术后残石2例 (9.5% ) ,经术后胆道镜取净。行胆总管切开术的 ,术后残石15例(100 %) ,经术后胆道镜 ,仍有4例未取净。随访结果表明 :肝叶切除术优良率为80% ,胆总管切开术的优良率为33.3%。P<0.05。结论 对肝内胆管结石的治疗首选肝叶切除术 ,它是一种安全有效的手术方法。

Objective To study the efficacy of lobectomy of liver in treating hepatolithiasis. Methods 30 cases of hepatolithiasis patients were divided randomly into following two groups: 15 did lobectomy of liver, 15 did choledocholithotomy. Results In the former group, 2 cases (9.5%) had remaining calculi, and all calculi were taken out by endoscope of biliary tract, 80 % cases had excellent results. All of those who did choledocholithotomy had remaining calculi, and with the help of endoscope, 4 cases still had remaining calculi, only 33.3% cases had excellent results. Conclusion Lobectomy of liver was safe and the first choice in treating hepatolithiasis.