摘要胆总管结石（common bile duct stone,CBDS）是一种常见外科疾病.近年来,其发病情况有显著变化,胆囊结石明显增加,它与CBDS的比例已由20年前的1.5∶1上升至7.36∶1,而CBDS发病率则大幅度降低. 但由于病因和病情不同，治疗方法又不断更新，所以对CBDS的治疗选择面临着困难和挑战。
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