146例复杂肝内胆管结石的个体化治疗  

Individualized treatment of complicated hepatolithiasis in 146 cases

作　　者：李旋[1] 叶启文[1] 林枫[1] 李林立[1] 林德新[1] 张代场[1] 

机构地区：[1]福建医科大学附属临床教学基地宁德市闽东医院肝胆外科,355000

出　　处：《中华肝胆外科杂志》2009年第5期337-339,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨个体化治疗复杂肝内胆管结石的可行性。方法对福建医大附属临床教学基地宁德市闽东医院近4年来使用不同方法治疗复杂肝内胆管结石总体疗效进行回顾性分析。结果根据具体病情，术前制定详细的个体化治疗方案，术中采取不同的手术方式，术后采取不同的综合治疗措施，能明显提高复杂肝内胆管结石的治愈率。结论复杂肝内胆管结石病情复杂，无统一的治疗方法，但有共同的治疗原则。对每个病例制定详细的个体化治疗方案是提高治愈率的重要措施。Objective To explore the feasibility of individualized treatment for complicated hepatolithiasis. Methods The clinical data of patients with complicated hepatolithiasis treated in our hospital with different approaches in the past 4 years were retrospectively analyzed. Results The curative rate of the disease could be promoted by preoperative careful formulation of individualized regimen, perioperative performance of different approaches and postoperative conduction of different comprehensive treatments according to the actual illness conditions. Conclusion As the complicated hepatolithiasis is complex and there is no unified curing method, the important measures to impove curative rate is making detailed individualized treatment plan for every case.

关 键 词：胆管结石 个体化治疗 临床分析 治疗方法 

分 类 号：R686[医药卫生—骨科学]