摘要
目的 调查肝内胆管结石术后结石复发情况 ,研究其与原发结石之间的关系。方法 对 12 9例手术取净结石的患者术后结石复发情况进行调查。结果 有 35例 49处肝内胆管复发结石 ,复发率为 2 7.13 %。复发结石在肝内的分布广泛 ,依次为左肝管、右肝管、左内叶、右前叶、右后叶、左外叶和尾状叶 ,分别为 13、12、8、6、4、3和 3例次。 35例复发结石中 ,9例无症状 ,16例症状较轻 ,10例症状明显。随访病例肝内胆管结石复发时间自术后 2年至 9年 ,平均5 .49± 2 .2 5年 ,肝内胆管结石复发率为 2 7.13 %。结论 复发性结石仍具有肝内多个部位发生结石的特点 ,且与原发结石的好发部位一致 ;肝内胆管结石的复发可无任何临床症状 ,大部分复发结石的症状都比其原发结石时轻 ;
HT6”,5”] [WT5”BZ] [WT5”HZ]Objective [WT5”BZ]To investigate the recurrence of intrahepatic bile duct stones and study the relations to the primary intrahepatic stones. [WT5”HZ]Methods [WT5”BZ]One hundred and twenty nine patients who experienced complete lithotomy were followed up for 2-10 years. [WT5”HZ]Results [WT5”BZ]Thirty five cases had the recurrence of intrahepatic stones at 49 sites (27.13%). The recurrent stones were found at following sites: 13 at left duct, 12 right duct , 8 left medial segment, 6 right anterior segment, 4 right posterior segment, 3 left lateral segment, 3 caudate. Nine cases were asymptomic, 16 cases had slight symptoms and 10 cases suffered from the serious attacks of stones. The time of recurrence was from 2 to 9 years (5.49±2.25 years) after surgery. The recurrent rate was 27.13% in our group. [WT5”HZ]Conclusion [WT5”BZ]The recurrence of intrahepatic stones also developed at several sites in the liver. The recurrence of intrahepatic stones had a tendency to develop at the primary sites. The recurrence of intrahepatic stones may be asymptomic and most patients suffered from slight attack. Liver resection is the best way to prevent the recurrence from intrahepatic stones. [HT6,5”] [WT5”HZ]
出处
《中国普外基础与临床杂志》
CAS
2000年第5期318-320,共3页
Chinese Journal of Bases and Clinics In General Surgery
