【摘要】 目的　探讨肝胆管结石的治疗效果。方法　回顾性分析 6 2例经手术治疗肝胆管结石患者的资料 ,行肝外胆管切开探查取石结合胆管分支胆道镜取石 36例 ,肝外胆管切开探查取石结合肝部分切除 19例 ,其中肝左外叶切除 14例 ,左叶切除 3例 ,右肝段切除 2例。肝实质切开取石结合肝外胆管切开探查取石 2例。肝内胆管狭窄切开取石后放置支架管引流 5例。取石后胆肠内引流 2 3例。结果　术后残石率为 9.6 8%。经 0 .5～ 5年的随访 ,结石复发率 7.5 %。结论　肝胆管结石的病变复杂 ,应根据个体具体情况 ,采用多种方法结合治疗 ,才能取得较好的治疗效果更多还原

【Abstract】 Objective To study the therapeutic effect of hepatolith.Methods The data of 62 hepatolith patients who were operated were retrospectively analysed,36 of which were treated with exploratory operation of extrahepatic duct incision together with extraction of calculi through branches of hepatic duct with choledochoscope,19 extrahepatic duct incision exploration with partial hepatectomy including 14 left exterior lobectomy and 3 left lobectomy and 2 right hepatic segment resection.2 the hepatolithectomy with the extrahepatic duct incision exploration and extraction of calculi.5 stent drainage after narrow cholangioincision.23 cholangioenterostomy after the lithotomy.Results The residual and recurrence rates of calculi were respectively 9.68% and 7.5% following up for 0.5～5 years after the operation.Conclusion The disease is complex,only based on each and every patient,treated with multiple methods may the therapy get more effective.更多还原