肝胆管盆式内引流术66例临床观察  

Clinical observation of hepatobiliary-basin drainage(66 cases attached)

作　　者：王钧[1] 郑九星[1] 王丰玲[2] 柴青[2] 陈孝平[3] 

机构地区：[1]湖北省宜昌市三峡大学医学院普外科,443002 [2]湖北省宜昌市三峡大学医学院第三临床医院,443002 [3]武汉市华中科技大学同济医学院附属同济医院肝胆中心,湖北武汉430030

出　　处：《淮海医药》2008年第3期204-205,共2页Journal of Huaihai Medicine

摘　　要：目的探讨肝胆管盆式内流术的治疗措施。方法回顾性分析我院普外科1997年9月～2003年9月6年间66例肝胆管盆式内流术的治疗资料。结果本组共66例均采用肝胆管盆式内流术，其中48例行左半肝或左叶肝切除手术，取得良好的效果，残石率约为4．55％。结论如何恰当的选择定位诊断的方法，正确选择手术的方法与时机是治疗本病的关键，肝胆管盆式内流术的选择时机及定位诊断是关键，手术原则为病灶切除、解除狭窄、通畅引流。Objective To investigate the treatment of hepatobiliary-basin drainage. Methods The treatment process of 66 hepatobillary-basin drainage from Sept 1997 to Sept 2003 in department of general surgery were reviewed. Results Hepatolithiasis is hard to cure. The key point to cure this disease is surgery. All 66 eases received hepatobiliary-basin drainage, and 48 eases in this group had their left lobe liver removed,with good effect. The rate of residual stone was about 4.55%. Conclusion The key point to cure this disease is to choose the proper measure and the appropriate time. Choosing the t.ime and location is crucially important in hepatobiliary-basin drainage. Focus resection and expended stricture are the principles of surgery.

关 键 词：肝内胆管结石 肝胆管盆式内引流术 外科手术 定位诊断 

分 类 号：R575[医药卫生—消化系统]