胆总管结石致急性梗阻性黄疸的手术治疗分析  

Analysis of Surgical Treatment of Acute Obstructive Jaundice Caused by Biliary Gallstone

作　　者：罗勇[1] 

机构地区：[1]四川省都江堰市人民医院普外科,四川都江堰611830

出　　处：《华西医学》2009年第8期2131-2133,共3页West China Medical Journal

摘　　要：目的：探讨胆总管结石致急性梗阻性黄疸手术治疗的效果。方法：回顾分析72例手术治疗胆总管结石致急性梗阻性黄疸患者的临床资料。结果：术后死亡3例。随访3-6年,效果优良者62例。3例胆总管T管引流术后3年复发肝胆管结石。结论：对该病的治疗术前应尽量做全面辅助检查,明确结石的部位及大小,胆管的形态及位置。根据病情确定手术时机和方式,对保证患者安全,减少术后并发症,提高治愈率有重要意义。Objective：To investigate the effect of surgical treatment of acute obstructive jaundice caused by biliary gallstone.Methods：Retrospective analysis was made on the clinical data of 72 cases of acute obstructive jaundice caused by biliary gallstone.Results：Three cases were dead after operation.Sixty-two cases got good effect by 3 to 6 years follow-up.Three cases with T drainage tube in common biliary duct recurred 3 years later.Conclusion：It is necessary to investigate the position and size of the gallstone and the biliary duct before operation. Selection of operating time and procedures according to the disease condition plays an important role in the security of patients, decreasing the postoperative complications and increasing the cure rate.

关 键 词：胆总管结石 梗阻性黄疸 T管引流 外科手术 

分 类 号：R657.42[医药卫生—外科学] R575.62[医药卫生—临床医学]