关键词: 肝胆管结石, 区段肝蒂肝切除术, B超引导下肝切除术, 治疗

Abstract: Objective In order to compare the clinical value of segmental pedicle hepatectomy and B-ultrasound-guided hepatectomy in the treatment of patients with hepatolithiasis. Methods 80 patients with hepatolithiasis were recruited in our hospital between December 2014 and December 2017,and were randomly divided into observation and control groups,with 40 cases in each,receiving segmental pedicle hepatectomy and ultrasound-guided hepatectomy,respectively. All patients were followed-up for seven months. Results The amount of hemorrhage in observation group was（350.4±105.7） mL,significantly lower than [（489.6±154.6） mL,P<0.05] and the postoperative volume f drainage was （280.4±78.2） mL,significantly lower than [（365.7±116.4） mL, P<0.05] in the control,while there were no significant differences as compared to the operation time,intraoperative blood transfusion volume,postoperative exhaust time and postoperative hospital stay in the two groups （P>0.05）; two weeks after operation,serum glutamyltransferase level in the observation was（197.6±65.3） IU/L,significantly lower than [（269.9±87.6） IU/L,P<0.05] and serum alkaline phosphatase level was （216.9±77.4） IU/L,much lower than [（312.3±95.6） IU/L,P<0.05] in the control;the incidence of postoperative complications in the observation group was 25.0%,significantly lower than that in the control group （P<0.05）. The incidence of postoperative complications in the observation group was 25.0%,significantly lower than 55.0% in the control group （P<0.05）. Conclusion The application of segmental pedicle hepatectomy for the treatment of hepatolithiasis has the advantages of less bleeding, fewer complications,and rapid recovery.

Key words: Hepatolithiasis, Segmental pedicle hepatectomy, Ultrasound-guided hepatectomy, Therapy