肝内胆管结石的手术治疗及术式评价  

Evaluation of surgical treatments for hepatolithiasis

作　　者：戴朝六[1] 赵阳[1] 

机构地区：[1]中国医科大学附属盛京医院肝胆脾外科,辽宁省沈阳市110004

出　　处：《世界华人消化杂志》2012年第34期3332-3335,共4页World Chinese Journal of Digestology

摘　　要：肝内胆管结石是胆道外科中难治的常见病之一.而肝胆管结石的治疗主要靠外科手术,原则是"去除病灶,取尽结石,矫正狭窄,通畅引流,防止复发".目前用于治疗肝内胆管结石的手术方式是多样的,归结为胆管探查取石引流、肝切除、胆管狭窄修复重建、肝移植4种主要类型,在实际应用中,此类手术方法常常是联合应用.本文阐述肝内胆管结石治疗过程中,手术治疗方案的选择,并针对相应术式进行评价.Hepatolithiasis is a common and refractory disease, for which the effective treatment method is surgery for removing the lesion, depleting stones, correcting stenosis, unobstructive drainage, and preventing re- currence. There are many surgical treatments avail- able for hepatolithiasis, including bile duct explora- tion, bile duct drainage, bile duct reconstruction, hepatectomy, and liver transplantation. In clinical practice, combination therapies are often performed in a large number of patients. Here we discuss the choice of surgical treatments for hepatolithiasis and evaluate their respective therapeutic effects.

关 键 词：肝内胆管结石 手术治疗 

分 类 号：R657.4[医药卫生—外科学]