摘要
作者10年来共手术治疗689例肝内胆管结石,其中65例(9.4%)为变异型肝内胆管结石。65例中完全治愈者46例,治愈率70.76%。本组19例术中未取净结石,其中4例系术后造影发现残留结石。变异肝内胆管结石是肝胆管结石治疗的难点之一。手术前要求有完整清晰的 PTC 胆管树 X 线片,详细了解肝内叶、段胆管的走向和开口有无变异,确定肝胆管分支是正常型还是变异型。应根据具体变异情况,选择不同的手术方式。以便达到除去病灶、取净结石、解除梗阻、畅通引流的目的,避免或减少术后并发症和后遗症。
In this report,65 out of 689 (9.4%)intrahepatic bile duct stone cases were found to have variant intrahepatic bile tree and operated on,with 46 cases (70.76%) cured.In the remainig 19 cases stones were not com- pletely removed.Intrahepatic bile duct stones complicat- ed within a variant bile duct tree are difficult to manage, It is the authors' belref that for a better result satisfacto- ry Preoperative PTC is mandatory.
出处
《普外临床》
CSCD
1995年第6期341-342,共2页
