规则性肝段切除联合胆道镜取石治疗肝内胆管结石131例临床分析(1)
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【摘要】 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:回顾性总结1998年1月至2009年12月我院规则性肝段(叶)切除、胆总管探查、T管引流术(术中联合胆道镜取石)治疗肝内胆管结石术后恢复情况,结石残留、复发,胆道感染等情况。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是安全的,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。
【关键词】 肝内胆管结石;肝段切除术;胆道镜
【中国分类号】 R62【文献标识码】 B【文章编号】 1044-5511(2012)02-0025-02
【Abstract】 Objective To investigate the methods and long-term follow-up results of treating hepatolithiasis with regular liver lobes resection combined with choledochoscopic stone-removing. Methods To summarize the recovery, the residual stone, the recurrence and infection of biliary tract of regular liver lobes resection, exploration of the common bile duct and choledochotomy and T-tube drainage combined with choledochoscopic stone-removing in Guang'an People Hospital from January, 1998 to December, 2009 ......
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