摘要
目的 探索肝胆管结石合并胆汁性肝硬化门静脉高压症的外科治疗方法。方法 全面评估病人 ,积极术前准备 ,对大多数病人施行一次性的根治治疗 ,并予以严密的围手术期监护。结果 共治疗 30例 ,所有病人均行一次根治性手术 ,治愈率 93 3%。死亡率从一般的 2 0 %降至 6 6 %。结论 胆汁性肝硬化门静脉高压症病人经去除胆道结石、梗阻 ,建立引流后肝硬化的病理可以逆转 ,故可对大多数病人行一次根治治疗 ,减少了病人的住院次数 ,节省大量的费用 ,同时也提高了治愈率。
Objective To explore the surgical treatments for portal hypertension in secondary biliary cirrhosis due to hepatolithiasis. Methods Single radical operations were performed in most of the patients after comprehensive evaluations. Meanwhile, positive preparations and close monitoring were also conducted for the patients. Results A total of 30 cases were treated with the single radical operation. The curative rate was 93.3% and the mortality decreased from 20% to 6 6%. Conclusions The pathology of the biliary cirrhosis can be reversed after elimination of the biliary stones and obstruction and establishment of drainage. Therefore, most patients can be cured with single radical operations that can shorten duration of hospitalization, save a lot of medical expenses and increase curative rate.
出处
《中华肝胆外科杂志》
CAS
CSCD
2002年第10期586-588,共3页
Chinese Journal of Hepatobiliary Surgery
基金
20 0 0年度浙江省医药卫生科研基金支持的A类课题 (2 0 0 0A0 10 )
