目的 探讨肝内胆管结石外科治疗的方法及效果.方法 对2005年1月至2010年10月间我院施行的126例肝内胆管结石手术患者的临床资料进行回顾性分析.结果 全组无手术死亡病例,术后发生并发症17例(13.5％),其中胆漏3例,胆道出血5例,肺部感染2例,胆道严重感染1例,切口裂开2例,切口脂肪液化4例,均经保守治疗痊愈；未出现膈下脓肿、腹腔内出血等并发症.施行各种手术的术后残石率为16.6％ (21/126).结论 利用现代影像技术,选择合理的手术方式,解除梗阻,去除病因,术中和术后配合胆道镜取石,提高疗效,降低残石率,避免再手术.%Objective To explore the effect and operative techniques of surgical treatment for primary hepatolithiasis. Methods Data of 126 patients hospitalized for hepatolilhiasis from January 2005 to Ocotober 2010 were collected and analyzed retrospectively. Results There was no mortality in operation. The incidence of complications after operation was 13. 6% , including bile fistula (3 cases) , bile tract bleeding(Scases) ,lunginfection(2 cases) , biliary serious infection(1 cases) , wound dehiseence(2 cases) , incision fat liquefaction(4 cases) , subphienic abscess and abdominal hemorrhage did not happen among these cases. In the operation groups,the rate of residual stones after operation was 16.6% (21/126). Conclusion the modern imaging technology, and choose the proper reoperation way, remove obstruction, remove the etiology, intraoperative and postoperative with biliary minor stone-free, enhance the curative effect,lower residual stone rate, avoid reoperation.
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