CAJ | 학술논문

目的探讨肝内胆管结石并胆管狭窄的手术治疗方法.方法选择2006年5月~2010年12月住院治疗的肝内胆管结石并胆管狭窄患者46例,行肝叶(段)切除术、胆管狭窄切开整形、胆管空肠Roux-en-Y吻合术等治疗.结果所有患者均无手术死亡.术后随访1~4年,2例出现切口感染,2例出现胆漏,均经保守治疗治愈,手术优良率91.30%.术后残余结石3例,残石率6.52%.结论肝内胆管结石并胆管狭窄患者选择合理的手术及术中正确判断、处理取净结石,可提高治愈率,降低结石残余率,是治疗此病症的有效治疗手段.
목적탐토간내담관결석병담관협착적수술치료방법.방법선택2006년5월~2010년12월주원치료적간내담관결석병담관협착환자46례,행간협(단)절제술、담관협착절개정형、담관공장Roux-en-Y문합술등치료.결과소유환자균무수술사망.술후수방1~4년,2례출현절구감염,2례출현담루,균경보수치료치유,수술우량솔91.30%.술후잔여결석3례,잔석솔6.52%.결론간내담관결석병담관협착환자선택합리적수술급술중정학판단、처리취정결석,가제고치유솔,강저결석잔여솔,시치료차병증적유효치료수단.
Objective To explore the surgical method for treatment of intrahepatic bile duct stones with bile duct stenosis. Methods 46 cases of bile duct stones with bile duct stenosis admitted to our hospital from May, 2006 to Dec, 2010 were selected and received operation such as hepatic lobe (segment) resection, cholangiotomy and plasty, and Roux-en-Y hepaticojejunostomy etc. Results All patients were alive after operation. After follow-up for one to four years, two cases with wound infection, 2 cases with bile leakage, are cured after conservative treatment. The excellent and good rate was 91.30%. Residual stones in three cases, the residual rate of 6.52%. Conclusion Rational procedure and correct judgment in operation can improve the cure rate and reduce the residual stone rate, which is an effective method for the treatment of intrahepatic bile duct stones with bile duct stenosis.