【摘要】 目的探讨解剖性肝切除在肝内胆管结石治疗中的应用价值。方法行解剖性肝切除治疗的肝内胆管结石患者36例,术前采用B超、CT、MRI判断肝内胆管结石的分布、有无合并肝门胆管狭窄、病灶与肝静脉主干的关系;采用Child分级评估肝脏功能;术中采取不同肝叶的解剖性切除;总结术后并发症及远期效果。结果无术中、术后死亡病例。术后发生并发症5例(13.9%):切口感染3例(8.3%),胸腔积液1例(2.8%),上消化道出血1例(2.8%);随访3个月～2年,未出现结石残留或复发。结论解剖性肝切除治疗肝内胆管结石,病灶清除彻底,并发症少。更多还原

【Abstract】 Objective To discuss the therapeutic role of anatomical liver resection in patients with hepatolithiasis.Methods Thirty-six patients with hepatolithiasis underwent anatomical liver resection.The image examinations of B ultrasound,CT and MRI were performed to clarify the stones,situations in bile duct,the narrow degree of bile duct and the relationship between the lesions and the trunk of hepatic vein.The complications and long-term outcomes were analyzed.Results No death took place during and after operation.Postoperative complications occurred in 5 cases(13.9%) including incision infection in 3 cases,hydrothorax in 1 case and hemorrhage of upper gastrointestinal tract in 1 case.There was no case with residual stone or stone recurrence during 3 months to 2 years follow-up.Conclusion Anatomical liver resection in the patients with hepatolithiasis has the advantages of thorough clearance of stone and low complication.更多还原