摘要
探讨如何提高肝内胆管结石和狭窄的临床疗效。方法 回顾性总结分析 1988年到 1998年间共收集的 13 2例肝内胆管结石和狭窄病例。结果 左右肝管多发结石 81例 ,单纯左肝管结石 3 2例 ,单纯右肝管结石 12例 ,肝门部结石 7例 ,合并胆管不同部位狭窄 96例 ,术后残石率 2 7%。结论 1根据结石和狭窄的不同分布 ,选择合适的手术方式 ;2术中使用胆道镜对复杂肝内胆管结石的治疗有显著作用 ;3切开肝方叶 ,直视下扩张狭窄的胆管 ,可明显提高取石率 ;
Objectiue [WT5”,6BZ]To improve the clinic effect of treatment for intrahepatic bile duct stone and stenosis.[WT5”,6HZ]Method [WT5”,6BZ]We reported 132 cases with intrahepatic bile duct stone in our Hospital from 1988 to 1998.[WT5”,6HZ]Result [WT5”,6BZ]We found 81 cases with multiple stone in the left and right hepatic duct,32 cases in the left hepatic duct,12 cases in the right hepatic duct,and 11 cases in hepatic portal part.We also found that there were 96 cases complicated stenosis in the different part of bile duct,and rate of residual stones was 27%.[WT5”,6HZ]Conclution [WT5”,6BZ]We concluded that:(1)we select different operation according to the different distribution of stone,(2)The use of choledochoscopy during the operation play a great role in the treatment of complex intrahepatic bile duct stones,(3)cholangitomy of left hepatic duct under direct vision can improve the cleared rate of left hepatic stones,(4)percutaneous transhepatic extraction of stones and dilation of the stonesis bile duct are effective methods to treat the residule stones after the operation.
出处
《肝胆外科杂志》
2000年第5期327-328,共2页
Journal of Hepatobiliary Surgery
关键词
胆管结石
胆管狭窄
肝内
外科手术
Surgical Therapy Intrahepatic Bile Duct Stenosis
