规则性肝段(叶)切除术治疗肝内胆管结石病的临床探析

Clinical Analysis of the Treatment of Hepatolithiasis With Regular Segment(Lobectomy) Hepatectomy

目的探析规则性肝段(叶)切除术治疗肝内胆管结石病的远期疗效及相关情况。方法以我院肝胆外科接收并采用规则性肝段(叶)切除术进行治疗的53例肝内胆管结石病患者为对象,回顾分析其各项临床资料,统计手术时间、术中出血量及术后近期并发症,并评价远期疗效情况。结果 53例患者手术后恢复情况较好,无死亡病例;随访评定远期疗效,治疗优良率为83.02%,好转率为13.21%,无效率为3.77%,远期整体疗效较理想。结论规则性肝段(叶)切除术用于肝内胆管结石治疗中的术中出血量较少,术后病死率低,且并发症出现率、结石残留率及复发率均较低,远期疗效较好。

Objective To explore the long-term efficacy of regular segment(lobectomy) hepatectomy in the treatment of hepatolithiasis. Methods A total of 53 patients with hepatobiliary calculi who received and received regular segment(lobectomy) hepatectomy in the hepatobiliary surgery department of our hospital were analyzed retrospectively. Results 53 patients recovered well after operation without any death. Long-term efficacy was assessed by follow-up, with an excellent rate of 83.02%, an improved rate of 13.21%, and an inefficient rate of 3.77%. The longterm overall effect was ideal. Conclusion Regular segment(lobectomy) hepatectomy is used to treat intrahepatic bile duct stones with less intraoperative blood loss, low postoperative mortality, low incidence of complications, stone residue and recurrence, and better long-term efficacy.