CAJ | 학술논문

目的:分析肝部分切除治疗肝内胆管结石的疗效.方法:回顾性分析2012年7月至2013年8月肝部分切除治疗肝内胆管结石67例的临床资料,术后随访12~26个月,分析治疗效果.结果:无死亡病例,残留胆管结石5例(7.5%),手术切口感染5例(7.5%),膈下脓肿1例(1.5%),胆漏1例(1.5%),胸腔积液7例(10.4%).根据疗效判断标准,优良59例(88.0%),好转6例(9.0%),无效2例(3.0%),总有效率为97.0%( 65/67).结论:肝部分切除治疗肝内胆管结石疗效显著.
목적:분석간부분절제치료간내담관결석적료효.방법:회고성분석2012년7월지2013년8월간부분절제치료간내담관결석67례적림상자료,술후수방12~26개월,분석치료효과.결과:무사망병례,잔류담관결석5례(7.5%),수술절구감염5례(7.5%),격하농종1례(1.5%),담루1례(1.5%),흉강적액7례(10.4%).근거료효판단표준,우량59례(88.0%),호전6례(9.0%),무효2례(3.0%),총유효솔위97.0%( 65/67).결론:간부분절제치료간내담관결석료효현저.
Objective: To analyze the curative efficacy of partial hepatectomy for the patients with hepatolithiasis. Methods:Retrospective study was made on the clinical data of 67 patients with hepatolithiasis undergone partial hepatectomy from July 2012 to August 2013. The surgical efficacy was analyzed after 12 to 26 months follow-up. Results:No postoperative deaths occurred. Residual bile duct stones were found in 5 cases(7.5%), surgical incision infection in 5 cases(7.5%), subphrenic abscess in 1 case(1.5%), bile leakage in 1 case(1.5%)and pleural effusion in 7 cases(10.4%). The curative efficacy of 59 patients was good in the clinical data of 67 patients with hepatolithiasis underwent hepatectomy(88.0%), improvement in 6 cases(9.0%)and non-effective patients in 2 cases (3.0%). The total effective rate was 97.0%(65/67). Conclusion: The surgical efficacy of partial hepatectomy for partial hepatectomy was remarkable.