Billroth Ⅱ式胃大部切除术后胆总管结石治疗现状  

Current status of the treatment of common bile duct stones after Billroth Ⅱ subtotal gastrectomy

作　　者：徐露瑶 李昌旭 唐朝辉 褚成龙 王英超[1] XU Luyao;LI Changxu;TANG Chaohui;CHU Chenglong;WANG Yingchao(Department of Hepatopancreatobiliary Surgery,The First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院肝胆胰外科,长春130021

出　　处：《临床肝胆病杂志》2021年第1期225-228,共4页Journal of Clinical Hepatology

基　　金：吉林省教育厅“一三五”科学技术项目(3D5196781428)。

摘　　要：胆总管结石是消化系统常见的疾病,作为BillrothⅡ式胃大部切除术后远期并发症之一,越来越受到临床医生的关注。BillrothⅡ式胃大部切除术后胆总管结石发病机制复杂,包括神经、体液和机械因素等。取石途径较多,选择消化内镜治疗、外科手术治疗或经皮经肝途径一直存在争论。临床上应综合评估患者的具体病情并制定个体化治疗方案以达到最佳的疗效。Common bile duct stones are a common of digestive system disease,and as one of the long-term complications after Billroth II subtotal gastrectomy,it has attracted more and more attention from clinicians.Common bile duct stones after Billroth II subtotal gastrectomy have a complex pathogenesis,including neurological,humoral,and mechanical factors.Even though there are many methods to remove stones,there are still controversies over the selection of digestive endoscopy,surgical operation,or percutaneous transhepatic approach.Clinicians should fully evaluate the specific conditions of patients and formulate individualized treatment regimens to achieve the best treatment outcome.

关 键 词：胃切除术后综合征 胆石 治疗学 

分 类 号：R657.4[医药卫生—外科学]