重症胆管炎术后肝内胆管残石的治疗  

THE TREATMENT OF THE RESIDUAL HEPATOLITHIASIS AFTER SURGERY OF SEVERE ACUTE CHOLANGITIS

作　　者：朱锦德[1] 邵初晓[1] 吕昕亮[1] 章涛[1] 方基兴[1] 

机构地区：[1]温州医学院附属五院,丽水市中心医院,丽水323000

出　　处：《肝胆外科杂志》2001年第5期357-358,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨肝内胆管结石伴胆管炎术后肝内胆管残石的治疗方法。方法　回顾分析 1998年 3月～ 2 0 0 1年 3月收治肝内胆管结石伴肝内胆管结石伴重症胆管炎 46例 ,全部急诊手术 ,术后胆管冲洗或胆镜取石。其中再次剖腹行肝叶或段切除 33例。结果　取净结石 41例 ,33例再次手术残石率为 12 .1% ,总计全组结石残存率为 10 .9% ,平均随访 13月 ,效果满意。结论　首次手术力求简单有效 。To assess the methods of the treatment with the residual stone in hepatic duct after acute severe cholangitis.Methods From Mar.1998 to Mar.2001,46 cases of hepatolithiasis with acute cholangitis treated with emergency surgery in our hospital were analysed retrospectively,rushing bile duct by T tube or removed residual stone through cholangioscopy after first surgery in all patients,33 case underwent second surgery including lobectomy or segment hepatectomy.Results 41 case had no stone remnant,the rate of residual stone of the 33 cases was 12.1%,the total rate of the group was 10.9%,the outcome was good after 13 months follow-up.Conclusion An effective first operation should be noticed and the time,types of second operation might play a key role.

关 键 词：胆管炎 肝胆管结石 外科手术 

分 类 号：R657.45[医药卫生—外科学] R657.42[医药卫生—临床医学]