胆总管结石的临床治疗进展  

Progress in Clinical Treatment of Choledocholithiasis

作　　者：陈明 李锋 

机构地区：[1]梧州市中医医院,广西梧州543002

出　　处：《大众科技》2020年第12期79-81,共3页Popular Science & Technology

摘　　要：胆总管结石指发生于胆总管内的结石,属于胆结石中复杂类型,一旦发生极易并发胰腺炎,进而提高临床治疗难度。对于胆总管结石体积越大、数量越多者,其肝胆功能、结构循环损伤更为严重,临床认为及早解除结石,并疏通胆总管,是改善患者预后的关键。目前,临床多采取手术方法治疗胆总管结石,传统手术方法为胆总管切开探查取石术,可取得确切疗效,在临床上普遍应用。随着微创外科技术的不断发展,胆总管结石的手术治疗也逐渐趋于微创化,微创手术不仅创伤性小,还具有操作简单、术后恢复快和出血量少等优点。除手术方法外,临床治疗胆总管结石还有非手术方法。文章现就胆总管结石的临床治疗进行综述。Choledocholithiasis refers to the stones in the common bile duct,which belongs to the complex type of gallstones.Once it occurs,it is very easy to complicate pancreatitis,which will improve the difficulty of clinical treatment.The larger and more numerous the choledocholithiasis are,the more serious the damage of hepatobiliary function and structural circulation is.Clinically,it is considered that the key to improve the prognosis of patients is to remove the stones as soon as possible and dredge the common bile duct.At present,most of the common bile duct stones are treated by surgical methods.The traditional surgical method is choledocholithotomy and exploration,which can achieve exact curative effect and is widely used in clinical practice.With the continuous development of minimally invasive surgical technology,the surgical treatment of common bile duct stones is gradually becoming minimally invasive.Minimally invasive surgery is not only less traumatic,but also has the advantages of simple operation,quick recovery and less blood loss.In addition to surgical methods,clinical treatment of common bile duct stones also has non-surgical methods.This article reviews the clinical treatment of choledocholithiasis.

关 键 词：总管结石 临床治疗 微创技术 胆色素结石 胆总管探查术 内镜下球囊扩张术 

分 类 号：R575[医药卫生—消化系统]