摘要
肝内胆管结石的诊治及对术后残留结石的处理均有许多尚未解决的难题。本文就３６例肝内胆管结石病例进行总结分析，提出术前应联合采用多种检查方法。手术应遵循取净结石；清除病灶；纠正胆管病变；建立通畅胆汁引流，为术后辅助治疗创造条件。对于胆管长期梗阻反复感染而丧失正常功能的肝组织应根据病变范围大小行肝段、肝叶或半肝切除。单纯肝内胆管结石无胆管狭窄，ｏｄｅｌｉｓ括约肌功能正常者不轻易做胆肠吻合以保留胆汁通道。
his artical
reported experience of 36 cases diagnosis and treatment
forintrahepatic stones,which used by various imaging examinations for
preo-perative diagnosis of intrahepatic cholelithiasis and
pathological changes ofliver.The resultsshowed that liver resection
was important factor in themanagement of hepalolithiasis.The
cholangiojejustomy must be cautious.Thebile duct remained as best one
for normal physical function.
出处
《云南医药》
CAS
1995年第5期342-343,共2页
Medicine and Pharmacy of Yunnan
