中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
30期
49-49,51
,共2页
肝内胆管结石%外科手术%疗效
肝內膽管結石%外科手術%療效
간내담관결석%외과수술%료효
Hepatolithiasis%Surgery%Efficacy
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。
目的：探討肝內膽管結石外科手術治療方式的臨床療效。方法：2010年3月-2014年3月收治肝內膽管結石患者96例，依據患者自身狀況給予不同術式治療。結果：死亡3例。術後髮現殘石23例。隨訪髮現，再髮結石11例，肝膿腫2例，併髮膽管癌3例。治療總有效率96.88%。結論：肝葉切除術是治療肝內膽管結石的最佳手術方式，單純行肝、膽管切開取石術治療效果較差。
목적：탐토간내담관결석외과수술치료방식적림상료효。방법：2010년3월-2014년3월수치간내담관결석환자96례，의거환자자신상황급여불동술식치료。결과：사망3례。술후발현잔석23례。수방발현，재발결석11례，간농종2례，병발담관암3례。치료총유효솔96.88%。결론：간협절제술시치료간내담관결석적최가수술방식，단순행간、담관절개취석술치료효과교차。
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:3 cases 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.
