中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
24期
66-67,68
,共3页
多处肝切除术%肝胆管结石%疗效%并发症%影响
多處肝切除術%肝膽管結石%療效%併髮癥%影響
다처간절제술%간담관결석%료효%병발증%영향
Multiple hepatectomy%Hepatolith%Curative effect%Complications%Impact
目的：研究分析多处肝切除术对复杂肝胆管结石疗效及并发症的影响。方法：选取2010年4月-2013年4月本院收治的62例复杂肝胆管结石患者，对其采用多处肝切除术治疗，分析治疗效果及并发症情况。结果：62例患者中45例顺利实施手术，清除率为72.6%，17例残留结石。术后3~6个月，14例采用T管窦道胆道镜取石，其中13例取石干净，最终结石清除共58例，清除率达93.5%。随访1~4年发现，肝内胆管结石复发4例，肝内胆管癌及死亡0例；并发症发生率为40.3%。结论：采用多处肝切除术治疗复杂肝胆管结石疗效显著，但不能降低手术并发症发生率。
目的：研究分析多處肝切除術對複雜肝膽管結石療效及併髮癥的影響。方法：選取2010年4月-2013年4月本院收治的62例複雜肝膽管結石患者，對其採用多處肝切除術治療，分析治療效果及併髮癥情況。結果：62例患者中45例順利實施手術，清除率為72.6%，17例殘留結石。術後3~6箇月，14例採用T管竇道膽道鏡取石，其中13例取石榦淨，最終結石清除共58例，清除率達93.5%。隨訪1~4年髮現，肝內膽管結石複髮4例，肝內膽管癌及死亡0例；併髮癥髮生率為40.3%。結論：採用多處肝切除術治療複雜肝膽管結石療效顯著，但不能降低手術併髮癥髮生率。
목적：연구분석다처간절제술대복잡간담관결석료효급병발증적영향。방법：선취2010년4월-2013년4월본원수치적62례복잡간담관결석환자，대기채용다처간절제술치료，분석치료효과급병발증정황。결과：62례환자중45례순리실시수술，청제솔위72.6%，17례잔류결석。술후3~6개월，14례채용T관두도담도경취석，기중13례취석간정，최종결석청제공58례，청제솔체93.5%。수방1~4년발현，간내담관결석복발4례，간내담관암급사망0례；병발증발생솔위40.3%。결론：채용다처간절제술치료복잡간담관결석료효현저，단불능강저수술병발증발생솔。
Objective:To study the effect of multiple hepatectomy on complicated hepatolith and its complications. Method:62 patients with hepatolith complicated were selected from April 2010 to April 2013 in our hospital. The patients treated with multiple hepatectomy,the therapeutic effect and complications of the therapy were analysed.Result:45 cases were smoothly removed intrahepatic bile duct stones,the first time clearance rate was 72.6%(45/62). 17 cases had residual calculi,and 14 cases were treated with T tube fistula in biliary lithotomy lens after the first surgery in 3-6 months,the lithotomy were clean in 13 cases,the clearance rate was reached 93.5%(58/62). 4 cases were recurrenced in the follow-up period(1-4 years),the intrahepatic cholangiocarcinoma and death case were not found. The incidence of complication was 40.3%.Conclusion:Multiple hepatectomy is a effective therapy in the treatment of complicated hepatolith,but it can not reduce the incidence of surgical complications.
