肝段切除联合手术加胆道镜治疗肝内胆管结石
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Combination of hepatolobectomy with other operation and with biliary fibrescopy for intrahepaticolithiasis
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    摘要:

    目的探讨肝内胆管结石外科治疗的方法和效果。方法近12年来对230例肝内胆管结石患者,根据结石的部位和肝胆系统的病理改变分别选择不同的手术,配合使用纤维胆道镜取石等综合措施治疗。结果(1)行肝段(叶)切除+胆管空肠Y型吻合103例,优良91.8%;(2)行肝胆管切开取石、解除狭窄后与空肠Y型吻合45例,优良81.2%;(3)行单纯胆道探查取石+T管引流72例,优良69.3%;(4)行胆总管十二指肠吻合4例及右肝段切除+T管引流6例。结论对肝胆管结石患者应采用肝段(叶)切除联合手术或高位胆管切开取石肝胆管空肠Y型吻合手术,并配合术中、术后纤维胆道镜取石,有利于提高疗效。

    Abstract:

    Objective:To study the methods and effect of the surgical treatment for intrahepaticolithiasis(IHL). Methods:In recent 12 years, in our hospital,230 cases of IHL were treated by different operations companied with biliary fibrescopy to remove the residnal stones of biliary tract. Results:(1)Hepatolobectomy combined with Ytype hepatocholangiojejunostomy was done in 103 cases,the success rate was 91.8%.(2)Ytype hepatocholangiojejunostomy was performed on 45 cases,the success rate was 81.2%.(3)Hepaticolithotomy combined with Ttube drainage was done in 72 cases,the success rate was 69.3%. Conclusions: For intrahepaticolithiasis,combination of hepatolobectomy with other operation and with biliary fibrescopy during or after the operation shoul be done, which can effectively improve the curative effect.

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金晓波,钟准,梅袆军,牟莉,吴文元,王长春.肝段切除联合手术加胆道镜治疗肝内胆管结石[J].中国普通外科杂志,2004,13(2):1-83.
DOI:10.7659/j. issn.1005-6947.2004.02.001

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  • 在线发布日期: 2004-02-25