中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
21期
54-54,56
,共2页
肝叶切除术%复杂原发性肝胆管结石%胆道探查
肝葉切除術%複雜原髮性肝膽管結石%膽道探查
간협절제술%복잡원발성간담관결석%담도탐사
Lobectomy of liver%Complicated primary hepatic bile duct stones%Exploration of biliary tract
目的：探讨肝叶切除治疗复杂原发性肝胆管结石的临床疗效。方法：2013年2月-2014年3月收治肝叶切除治疗的原发性肝胆管结石患者55例，所有患者均经B超及CT检查检查确诊，均行胆道探查肝叶切除术进行治疗。结果：本组55例患者均行肝切除手术，所有患者均成功取石，手术时间(185.5±50.6)分钟，术中出血(250±200)ml，术后无死亡，术后发生并发症3例，其中切口感染1例，发生胆瘘1例。经过3～15个月的随访，术后复发1例，复发率1.8%，优良率98.2%。结论：肝叶切除治疗复杂原发性肝胆管结石复发率低，疗效显著，值得推广。
目的：探討肝葉切除治療複雜原髮性肝膽管結石的臨床療效。方法：2013年2月-2014年3月收治肝葉切除治療的原髮性肝膽管結石患者55例，所有患者均經B超及CT檢查檢查確診，均行膽道探查肝葉切除術進行治療。結果：本組55例患者均行肝切除手術，所有患者均成功取石，手術時間(185.5±50.6)分鐘，術中齣血(250±200)ml，術後無死亡，術後髮生併髮癥3例，其中切口感染1例，髮生膽瘺1例。經過3～15箇月的隨訪，術後複髮1例，複髮率1.8%，優良率98.2%。結論：肝葉切除治療複雜原髮性肝膽管結石複髮率低，療效顯著，值得推廣。
목적：탐토간협절제치료복잡원발성간담관결석적림상료효。방법：2013년2월-2014년3월수치간협절제치료적원발성간담관결석환자55례，소유환자균경B초급CT검사검사학진，균행담도탐사간협절제술진행치료。결과：본조55례환자균행간절제수술，소유환자균성공취석，수술시간(185.5±50.6)분종，술중출혈(250±200)ml，술후무사망，술후발생병발증3례，기중절구감염1례，발생담루1례。경과3～15개월적수방，술후복발1례，복발솔1.8%，우량솔98.2%。결론：간협절제치료복잡원발성간담관결석복발솔저，료효현저，치득추엄。
Objective:To investigate clinical effect of lobectomy of liver in the treatment of complicated primary hepatic bile duct stones.Methods:55 cases with primary hepatic bile duct stones who were treated with hepatic lobectomy were selected from February 2013 to March 2014.All the cases were diagnosed by the B ultrasound and CT scan examination.They were underwent exploration of biliary tract lobectomy of liver.Results:55 cases in this group were underwent liver resection operation.Stone extraction of all patients were successful.The operation time was(185.5 ± 50.6) minutes.The amount of bleeding in operation was(250 ± 200) ml.There was no death after operation.Postoperative complications occurred in 3 cases,including 1 cases of incision infection,1 cases of biliary fistula.After 3~15 months of follow-up,1 cases of recurrence,the recurrence rate was 1.8%. The rate of excellent and good was 98.2%.Conclusion:Lobectomy of liver in the treatment of complicated primary hepatic bile duct stones had low recurrence rate,and significantly effect,so it is worthy of promotion.
