胆管残余结石的处理(附130例分析)

Treatment of residual gallstones.

１９８０～１９９６年收治胆道残余结石１３０例，以胆总管残余结石最多见，占６７％。１０３例手术治疗，以肝叶切除合并各种引流手术效果最佳，溶石、碎石、介入等非手术疗法应作为多数残余结石的首选治疗方法，且效果有较大改善。胆管残余结石的预防关键在于首次手术应全面检查。

Residual gallstones of common bile duct accounted for 67 per cents of residual gallstones that admitted to our hospital from 1980 to 1996.Among 103 patients operations,hepatolobectomy combined with variaties of drainage has the best curative effect.Nonoperaive therapy such as lithodialysis,cholelithotripsy and interventional treatmnet were almost the first choice for most of these cases and these effect were improved much than before.The most important for prevention of residual gallstones was preoperative complete check and approriate operation mode for primary operation.