[摘要] 目的：探讨不同类型的肝内胆管结石的手术治疗方法。方法：对本院收治疗的96例肝内胆管结石患者的临床资料及随访结果进行分析。结果：96例均治愈出院，8例出现术后并发症，均经保守治疗治愈。3例肝内结石复发，予再次手术治疗，治愈出院，手术总体疗效满意。结论：肝内胆管结石病情复杂，应视具体情况选择合适的手术方式。术中及术后纤维胆道镜的应用能降低术后残石率。

    [关键词] 肝内胆管结石；肝叶切除；胆管狭窄；残石率

    [中图分类号] R657.4 [文献标识码]C [文章编号]1674-4721(2011)02(c)-162-02

    Studying surgical treatment of hepatolithiasis

    YUAN Yangchun, LIN Jiayu, XIE Tian

    (Department of General Surgery, The People's Hospital of Jieyang City, Guangdong Province, Jieyang 522000, China)

    [Abstract] Objective: To study the different types of Hepatolithiasis in surgical treatment. Methods: Analyzed the clinic data and the follow-up result of 96 patients who had Hepatolithiasis and were treated in the authors’ hospital. Results: All the 96 patients were cured and left hospital. Eight of them got postoperative complications, and finally all were cured by conservative treatment. Three of them got recrudescence of the Hepatolithiasis and were operated again. At last theyalso werecured and left hospital, and the whole effect of surgical treatment wad satisfied. Conclusion: The patient's condition of Hepatolithiasis is very complicated. A appropriate surgical operation should be taken for the patients by depending on the real conditions of the patients. The intraoperative and postoperative application of fiberoptic choledochoscope can reduce postoperative residual bile stones rate. ......