规则性肝切除治疗肝内胆管结石的临床效果

Clinical analysis of anatomical hepatectomy on calculus of intrahepatic duct

目的分析规则性肝切除治疗肝内胆管结石的临床效果。方法回顾性分析本院2010年4月至2014年5月行规则性肝切除治疗的22例肝内胆管结石患者的临床资料,探讨其临床特点、手术范围及临床效果。结果 22例患者均顺利完成手术,手术平均时间为（84.2±15.6）分钟,平均术中出血量为（124.7±19.9）ml,无术中输血病例,术中均一期切除病变肝脏,术后无结石残留病例,术后病理无恶性病变病例。术后2例患者并发胆漏,穿刺置管引流后治愈,无术后出血、肝功能衰竭等并发症发生,无围术期死亡病例。术后规律随访6～48个月,无结石复发病例。结论规则性肝切除治疗肝内胆管结石能够去除结石及病灶,切除病变肝脏,防止结石复发,具有较好的临床效果。

Objective To analyze the clinical effect of anatomical hepatectomy on.Method Retrospectively analyzed the clinical data of 22 patients with calculus of intrahepatic duct accepted anatomical hepate-ctomy from Apr 2010 to May 2014,and clinical characteristic,resection range and clinical effect were summarized.Result all of 22 patients were successful in operations,time of operation was（84.2±15.6） min,intraoperative bloodloss was（124.7±19.9） ml,no patients taken blood transfusion,and pathological liver tissue was cut in one stage resection,no patients was stone residue,and all pathologist was benign,2 cases incident bile leakage after operation,and was healing by puncture and drainage,no patients was postoperative bleeding or liver function failure,no patients was death in perioperative period,all patients were visited following from 6 to 48 months,there was no patients with stone recurrence.Conclusion Anatomical hepatec tomy can remove stone on calculus of intrahepatic duct and focus,cut sick liver,prevent stone recurr ence,and has satisfied clinical effect.