探讨肝胆管盆式内流术临床观察(附66例)

To investigate the clinical observation of hepatobiliary-basin drainage(enclosed 66 cases)

目的 探讨肝胆管盆式内流术的治疗措施.方法 回顾性分析我院普外科1997年9月～2003年9月16年间66例肝胆管盆式内流术的治疗经过.结果 肝内胆管结石是一个难治性疾病,诊断这一疾病的难点在于定位,治疗这一疾病的关键在于手术.本组共66例均采用肝胆管盆式内流术,其中48例行左半肝或左叶肝切除手术,取得良好的效果,残石率约为4.55%.结论 如何恰当的选择定位诊断的方法,正确选择手术的方法与时期是治疗本病的关键.肝胆管盆式内流术的选择时机及定位诊断是关键,手术原则为病灶切除、接触狭窄、通畅引流.

Objective Toinvestigate the treatment of hepatobiliary –basin drainage.Methods The treatment process of 66 hepatobiliary–basin drainage cases from Sep 1995 toSep 2003 in department of general surgery were reviewed.Results Hepatolithiasis is hard toCure.The difficulty of diagnosis lies in the location.The key point to cure this disease is surgery.All 66 cases received hepatobiliary-basin drainage,and 48 cases in this group left lobe liver were removed,which obtained good effect.The rate of residual stone is about 4.55%.Conclusion The key point to cure this disease is to choose the proper measure and the appreciate time.Choosing the appreciate time and location are crucial importance in hepatobiliary-basin drainage.Focus resection,expended stricture are the principles of surgery.