4 胆囊管残株结石的诊断和治疗:附22例报告
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汝宝元

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Diagnosis and treatment of cystic duct stump concretion:a report of 22 cases
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    摘要:

    目的:探讨胆囊管残株结石的诊断和治疗方法。
    方法:回顾性分析18年间收治的22例胆囊管残株结石患者的临床资料。
    结果:22例中18例行ERCP确诊6例,MRCP确诊12例;另4例因胆总管结石进行胆总管探查术时发现残留胆囊管过长且有结石,术中胆道造影证实为胆囊管残株结石。全部患者经再次手术治疗获得痊愈,术后随访3年以上,效果满意。
    结论:胆囊管残株结石与第1次手术密切有关,MRCP和ERCP是其最有价值的诊断方法。再次手术难度大,手术应谨慎。

    Abstract:

    Abstract:Objective:To explore the diagnosis and treatment of cystic duct stump concretion.
    Methods :The clinical data of 22 cases of cystic duct stump concretion were retrospectively analysed.
    Results:Of 22 cases, six cases were diagnosed by ERCP; 12 by MRCP; and the other four cases had long cystic duct stump with stones found at operation, and proved by intraoperative cholangiography. All cases were cured by re-operation, and at more than 3 years follow up, the results were satisfactory.
    Conclusions:The cystic duct stump concretion is closely related to the first operation. MRCP and ERCP are the most valuable diagnotic methods. Re-operation is difficult and needs to be done with care.

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汝宝元.4 胆囊管残株结石的诊断和治疗:附22例报告[J].中国普通外科杂志,2007,16(7):4-.
DOI:10.7659/j. issn.1005-6947.2007.07.004

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  • 在线发布日期: 2007-07-25