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目的探讨规则性肝切除治疗肝内胆管结石病的价值。方法回顾性分析2008年2月-2013年2月67例（研究组）以及1998年1月-2003年12月87例（对照组）各类肝内胆管结石的患者临床资料。研究组采用规则性肝切除术，对照组采取常规肝叶切除术。比较两组患者的平均手术时间、平均出血量、输血率、术后并发症、残石率及复发率。结果研究组平均出血量、输血率、术后肝脏功能不全患者以及残石率明显低于对照组。结论采用规则性肝切除术治疗肝内胆管结石，并配合精细的手术操作，术中使用胆道镜，可有效保护肝脏功能，减少手术出血，降低残石率。“,” Objective To assess the value of regular hepatic lobectomy in treatment of hepatolithiasis. Methods Retrospectively reviewed the clinical data of 67 patients with hepatolithiasis performed with precise hepatectomy from February 2008 to February 2013. Team users the regularity of liver resection, the control group take regular lobe resection. Compare two groups of patients with the average operation time, average blood loss and blood transfusion rate, postoperative complications and residual stone rate and recurrence rate. Results: the team average blood loss, blood transfusion rate, postoperative liver dysfunction patients, and residual stone rate is significantly lower than the control group.Results Group theaverage blood loss, blood transfusion rate, postoperative liver dysfunction patients, and residual stone rate is significantly lower than the control group. Conclusions Hepatectomy not only eliminates calcuci,but also removes disesebiliary tracts,with advantagesof low residue stone residue and recurrence rate.