摘要
目的:探讨肝内胆管结石外科手术治疗方式的临床疗效。方法:2010年3月-2014年3月收治肝内胆管结石患者96例,依据患者自身状况给予不同术式治疗。结果:死亡3例。术后发现残石23例。随访发现,再发结石11例,肝脓肿2例,并发胆管癌3例。治疗总有效率96.88%。结论:肝叶切除术是治疗肝内胆管结石的最佳手术方式,单纯行肝、胆管切开取石术治疗效果较差。
Objective:To explore the efficacy of surgery in the treatment of hepatolithiasis.Methods:96 cases of hepatolithiasis from March 2010 to March 2014 were treated with different surgical procedures according to the patients' condition.Results:3cases were dead.23 cases were found residual stone after operation.Recurrence calculus(11 cases),liver abscess(2 cases),and complicated by bile duct carcinoma(3 cases)were found in follow-up.The total effective rate was 96.88%.Conclusion:Hepatolobectomy is the best surgery in the treatment of hepatolithiasis and the efficacy of simple transhepatic cholangiolithotomy treatment is worse.
