摘要
肝胆管结石病在我国是常见病。诊断主要是在临床表现基础上结合影像学检查,超声、CT和磁共振常联合使用。肝胆管结石病的治疗是普通外科良性疾病中的难题,手术是治疗肝胆管结石病的主要手段,基本原则是去除病灶、取尽结石、矫正狭窄、通畅引流、防治复发。随着微创外科迅猛发展,腹腔镜治疗肝胆管结石病也日趋成熟。运用影像学手段术前精确评估,制定个体化治疗方案,才能为肝胆管结石病患者带来最佳治疗。
Hepatolithiasis is a common disease in China. The diagnosis is mainly based on clinical manifestations in combination with imaging examination in which ultrasound, computed tomography and magnetic resonance imaging are often used together. Treatment for hepatolithiasis is still one of the most difficult problems in general surgery for benign disease. Surgical treatment is the main method for hepatolithiasis, following the basic principles which include ＂ Removing lesions, cleaning stones, correcting strictures, recovering the drainage and preventing the recurrence＂. With the rapid development of minimally invasive surgery, laparoscopic treatments for hepatolithiasis are applied more and more frequently. Accurate preoperative assessment with imaging examination and making individualized strategy could bring the best treatment for hepatolithiasis.
出处
《中华普外科手术学杂志（电子版）》
2016年第6期454-457,共4页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
国家临床重点建设专科项目基金[卫办医政函(2012)650号]~~
关键词
肝内胆管结石
诊断
外科手术
Hepatolithiasis
Diagnosis
Surgical procedures, operative
