CAJ | 학술논문

目的探讨肝胆管残余或再生结石外科治疗方法,旨在提高该病的治疗水平.方法回顾性分析近5年136例行以肝切除为主的联合手术治疗肝胆管残余或再生结石患者临床资料.结果术后死亡1例(0.7%),胆漏6例(4.4%),膈下脓肿2例(1.5%),其余正常.全组随访时间2.5～8.3年,115例(84.6%)无自觉症状,6例(4.4%)有胆道感染表现,6例(4.4%)仍有残余结石,9例(6.6%)于术后2～5年出现结石复发.结论肝胆管结石患者应采用肝切除为主的联合手术,并配合术中纤维胆道镜及术中B超定位取石,有利于提高疗效.
목적 탐토간담관잔여혹재생결석외과치료방법,지재제고해병적치료수평.방법 회고성분석근5년136례행이간절제위주적연합수술치료간담관잔여혹재생결석환자림상자료.결과 술후사망1례(0.7%),담루6례(4.4%),격하농종2례(1.5%),기여정상.전조수방시간2.5～8.3년,115례(84.6%)무자각증상,6례(4.4%)유담도감염표현,6례(4.4%)잉유잔여결석,9례(6.6%)우술후2～5년출현결석복발.결론 간담관결석환자응채용간절제위주적연합수술,병배합술중섬유담도경급술중B초정위취석,유리우제고료효.
Objective To discuss the method of the surgical treatment for retained and regenerate hepaticolithiasis, and to improve the theraputic level. Methods In recent 5 years,in our hospital,136 cases of retained and regenerate hepaticolithiasis were treated by combination of hepatolobectomy with other operation, and these cases were analyzed retrospectivly. Results One patient died after operation (0. 7%),8 patients had other complications including: biliary fistuta(6 cases, 4.4%), subphrenic abscess (2 cases,1.5%). All cases were visited for 2.5 - 8.3 years, 115 (84.6%) cases had not any symptom, 6 (4.4%)cases had infection of biliary tract, 6(4.4%) cases had retained calculus, 9(6.6%) cases recurred calculus 2 -5 years after operation. Conclusion Retained and regenerate hepaticolithiasis should be treated by combination of hepatolobectomy with other operation and fiber choledochoscope and B ultrasound of operation, which can increase therapeutic effect.