肝胆管造影在制定肝胆管结石个体化手术方案中的应用

目的:探讨肝胆管造影在肝胆管结石诊断及个体化手术方案选择中的应用价值。方法:分析59例肝胆管结石病人胆道造影情况及其对制定个体化手术方案的指导作用。结果:59例病人中,I￣II级肝胆管异常汇合15例;肝胆管狭窄45例;左右肝均有结石32例,位于右肝7例,位于左肝16例;随访0.5￣7年49例,效果优良45例,差4例。结论:肝胆管造影能为肝胆管结石提供明确的定性、定位、定量诊断,对手术有重要的指导作用。

Objective：To evaluate the value of cholangiography in the diagnosis and selection of a personalized operative plan in intrahepatolithiasis.Methods： Analizing the results of cholangiography of 59 cases with hepatolithiasis and assessing the value in making a personalized surgical plan. Results： Of the 59 cases： anatomical variations in hepatic bile duct of lnd and 2nd order accotmted for 15 cases （25%）; hepatico stricture 35 cases（59%）; the hepatic stones being locasted in bilateral lobe 32 eases（54%）, in the right 7 cases（12%）, in the left 16 cases （27%）; 49 caese （83%） were followed up from half to seven years, 45 cases （92%） achieved good results. Conclusion ： Cholongiography can clearly show the anatomical variations of hepatico, the location and extent of hepatico stenosis or expanes, the number and distribution of stones Therefore, it is very beneficial to improve the effects of surgical treatment.