中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
4期
112-113
,共2页
肝叶切除术%肝内胆管结石%个体化
肝葉切除術%肝內膽管結石%箇體化
간협절제술%간내담관결석%개체화
Liver lohectomy%Hepatolithiasis%Individualization
目的 探讨肝叶切除术为主的外科综合方法治疗肝内胆管结石的效果.方法 针对肝内胆管结石部位及肝门胆管狭窄情况,采用肝叶段切除,肝门胆管成形,引流,经肝断面胆道镜取石联合手术.结果 本组51例无术中术后死亡,切口感染5例,术后腹水6例,残石4例,上消化道出血3例,随访11个月～9年,其中症状消失48例,胆管炎发作3例.结论 以肝叶段切除术为主体,并结合个体化方案是目前治疗肝内胆管结石的可行、有效的方法之一.
目的 探討肝葉切除術為主的外科綜閤方法治療肝內膽管結石的效果.方法 針對肝內膽管結石部位及肝門膽管狹窄情況,採用肝葉段切除,肝門膽管成形,引流,經肝斷麵膽道鏡取石聯閤手術.結果 本組51例無術中術後死亡,切口感染5例,術後腹水6例,殘石4例,上消化道齣血3例,隨訪11箇月～9年,其中癥狀消失48例,膽管炎髮作3例.結論 以肝葉段切除術為主體,併結閤箇體化方案是目前治療肝內膽管結石的可行、有效的方法之一.
목적 탐토간협절제술위주적외과종합방법치료간내담관결석적효과.방법 침대간내담관결석부위급간문담관협착정황,채용간협단절제,간문담관성형,인류,경간단면담도경취석연합수술.결과 본조51례무술중술후사망,절구감염5례,술후복수6례,잔석4례,상소화도출혈3례,수방11개월～9년,기중증상소실48례,담관염발작3례.결론 이간협단절제술위주체,병결합개체화방안시목전치료간내담관결석적가행、유효적방법지일.
Objective To discuss the effects of surgical combined therapy for hepatolithiasis which using liver lobectomy as a main method.Methods According to the stones'situations in bile duct and the narrow degree of bile duct in hepatic hilum,in hepatolithiasis and intrahepati duct,the methods of liver lohectomy,hepatic portal canal forming,drainage and combined operatin of stone removal with hepatic biliary tract mirror via kiver cross section.are adopted.Results All 51 cases received operation.No death took plase at the intraoperatire and postoperative period.There were 5 cases of incision infection,6 cases of abdominal dropsy,and 4 cases with residual stones after operation.There were 3 cases of hemorrhage of upper gastrointestinal tract.Followup ranged from 11 months to 9 years,there were 48 cases of symptoms disappearing,3 eases of cholangitis episode.Condusion Combine liver lohectomy with individualization should be a feasible and effective treatment option for hepatolithiasis.
