肝胆管结石病的诊断和治疗  

Diagnosis and treatment of hepatolithiasis

作　　者：郑亚新[1] 

机构地区：[1]上海同济大学附属东方医院肝胆外科,上海200120

出　　处：《上海医药》2012年第20期6-9,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：肝胆管结石病原发于左右肝管汇合部以上,虽然目前在上海地区较少,但仍然在国内部分地区较为常见。其诊断包括临床表现,影像学检查和实验室检查。手术治疗是肝胆管结石病的主要治疗方法,但有一定的手术指证,不同的手术治疗应对不同的适应证以及不同的效果。尽管肝胆管结石病有多种手术治疗方法以及非手术治疗方法,但总体治疗困难,预后较差,有待临床医学的深入研究。Hepatolithiasis is formed primarily at bile ducts above the common hepatic duct. Intrahepatic lithiasis is a rare entity in Shanghai but highly prevalent in some province in China. It can be diagnosed with clinical manifestations, imaging examinations and laboratory tests. Operative management is a main method for the treatment of hepatolithiasis. There are several operative therapies with different indications and different results. The majority of patients with hepatolithiasis are difficult to be treated with poor prognosis in spite of some operative and nonoperative therapies. Hepatolithiasis is a real challenge in medicine worldwide.

关 键 词：肝胆管结石病 诊断 手术治疗 非手术治疗 

分 类 号：R657.4[医药卫生—外科学]