临床误诊误治2012，Vol.25Issue(1)：8-10,3.DOI:10.3969/j.issn.1002-3429.2012.01.004
部分肝切除术与胆肠吻合术治疗肝内胆管结石的效果比较(附1025例分析)
Effect of Partial Hepatectomy and Bile Buct Intestinal Anastomosis in the Treatment of 1025 Patients with Hepatolithiasis
摘要
Abstract
Objective To assess the values of regular hepatic resection for hepatolithiasis. Methods One thousand and twenty five patients with hepatolithiasis were enrolled during January 1995 and December 2009. Patients were divided into two groups, partial hepatectomy group and cholangio-jejunostomy group, according to the surgery procedures. The rates of postoperative complication, stone residue and stone recurrence were retrospectively analyzed. Results Among 1025 patients, 687(67.02% ) patients underwent partial hepateetomy, 338 patients (22. 98% ) underwent bile buct intestinal Anastomosis. The main complications were peritoneal infection(5. 17% ) , biliary fistulas (3. 32% ) , biliary bleeding (0. 68% ) and severe acute cholangititis (0. 68% ). The operative mortality rate was 0.49%. The occurrence rates of postoperative complications in the two groups were not significantly different from each other( P > 0.05 ). However, the stone residue and recurrence rates in partial hepatectomy group were significantly lower than those in cholangio-jejunostomy group(6.11% versus 19.82% , and 18.63% versus 33.43% , respectively) , P<0.05. Conclusion Partial hepatic resection is a safe and effective method for hepatolithiasis treatment, with satisfactory outcomes both in short and long-term.关键词
胆管,肝内/结石/残留/复发/肝切除术/胆管肠吻合术,肝Key words
Bile duct, intrahepatic/ Calculus/ Residue/ Relapse/ Hepatectomy/ Bile duct intestinal anastomosis, liver分类
医药卫生引用本文复制引用
程龙,田伏洲,骆助林,王瑞丰,任建东,黄竹..部分肝切除术与胆肠吻合术治疗肝内胆管结石的效果比较(附1025例分析)[J].临床误诊误治,2012,25(1):8-10,3.基金项目
四川省卫生厅科研项目(110467) （110467）
