CAJ | 학술논문

[目的]探讨规则性肝段(叶)切除联合胆道镜取石治疗肝内胆管结石的方法及远期疗效.[方法]回顾性分析本院131例肝内胆总管结石患者采用规则性肝段(叶)切除、胆总管探查、T 管引流术(术中联合胆道镜取石)治疗的临床资料.[结果]131例患者术后恢复良好,康复出院,无手术死亡.随访112例10个月至8年,93例(83.0%)症状消失,8例(7.1%)术后结石残留,7例(6.3%)术后复发,5例(4.5%)胆道反复感染疼痛.[结论]规则性肝段(叶)切除联合胆道镜取石术安全可靠,可降低残石率、结石复发率,是目前治疗肝内胆管结石最有效方法之一.
[목적]탐토규칙성간단(협)절제연합담도경취석치료간내담관결석적방법급원기료효.[방법]회고성분석본원131례간내담총관결석환자채용규칙성간단(협)절제、담총관탐사、T 관인류술(술중연합담도경취석)치료적림상자료.[결과]131례환자술후회복량호,강복출원,무수술사망.수방112례10개월지8년,93례(83.0%)증상소실,8례(7.1%)술후결석잔류,7례(6.3%)술후복발,5례(4.5%)담도반복감염동통.[결론]규칙성간단(협)절제연합담도경취석술안전가고,가강저잔석솔、결석복발솔,시목전치료간내담관결석최유효방법지일.
Objective]To explore the methods and long‐term efficacy of regular liver segment (lobe) resec‐tion combined with choledochoscopic stone removing for the treatment of hepatolithiasis .[Methods] Hepatoli‐thiasis undergoing regular liver segment(lobe) ,exploration of common bile duct and T‐tube drainage(combined with choledochoscopic stone removing ) in our hospital was summarized retrospectively .[Results]All 131 pa‐tients recovered well after operation and discharged from our hospital after the recovery .No one died during the operation .In the follow‐up of Among 112 patients who were followed up for 10 months to 8 years ,93 pa‐tients(83 .0% ) had the disappearance of the symptoms ,and 8 patients(7 .1% ) had the residual stones ,and 7 patients(6 .3% ) had the recurrence and 5 patients(4 .5% ) had the infection and ache of biliary tract repeated‐ly .[Conclusion]Regular liver segment(lobe) resection combined with choledochoscopic stone removing is safe and reliable ,and can reduce the stone residue rate and the stone recurrence rate .Therefore ,it is one of the most effective ways to treat hepatolithiasis .