肝内胆管结石外科治疗112例报告  

Surgical treatment of the hepatolithiasis

作　　者：胡海坤[1] 徐集麟[1] 余耀生[1] 徐铁峥[1] 吴显清[1] 

机构地区：[1]浙江省衢州市人民医院外科,324000

出　　处：《浙江临床医学》2000年第10期659-660,共2页Zhejiang Clinical Medical Journal

摘　　要：目的总结肝内胆管结石诊疗经验和体会。方法112例采用术前B超、PTC、ERCP、CT、胆道镜、手术探查及术后“T”管造影确立诊断 ,联合运用肝叶切除 ,高位胆管切开、整形 ,胆肠吻合 ,肝圆韧带修复 ,胆道镜术中、术后取石和“T”管引流不同的方法治疗 ,回顾总结效果。结果术后残石率为14.29 %。经1个月至10年的随访 (随访率为71.43 % ) ,优良率85.71 %。结论在详尽的影像学检查前提下 ,合理选用并联合应用不同的方法是治疗本病的最佳选择。Objective To explore the diagnosis and treatment of the hepatolithiasis. Methods Different therapeutic approaches were used in the treatmtnet of the hepatolithiasis such as preoperative ultrasound examination, lobectomy of liver and T-tube drainage. Results The occurrence of the residual stone was 14.29%. After the follow-up from one month to ten years, the effective rate was 85.71%. Conclusion The best approach for the treatment of the hepatolithiasis was the comprehensive preoperative examination and the combined therapy.

关 键 词：胆结石 肝内胆管 胆管狭窄 外科治疗 

分 类 号：R657.42[医药卫生—外科学]