右肝萎缩——胆囊结石的合并症

Gallbladder stone association with right hepatic lobe atrophy

目的探讨胆囊结石与右肝萎缩的因果关系。方法报告 3例胆囊结石合并右肝萎缩。结果胆囊结石及胆囊炎 (尤其壶腹部 )导致右肝管狭窄或 /和右门静脉狭窄致右肝叶萎缩，肥大的左肝，肝门移位，胆囊转位向前可压迫肝总管引起黄疸。结论继发于胆囊结石的右肝萎缩或 /和肝总管狭窄，仅需胆囊切除或 /和胆管探查引流，萎缩之肝叶无需处理。

Objective To explore the cause and effect relationship between gallbladder stone and right hepatic lobe atrophy. Methods Three patients with gallbladder stone associated with right hepatic atrophy were reported. Results Chronic cholecystitis with stone resulted in strictures of right hepatic tube or/and right portal vein as well as right hepatic atrophy,hypertrophic left lobe caused gallbladder turn to ahead and constricted common hepatic duct. Conclusion Right hepatic atrophy results from gallbladder stone,management of which,only needs cholecystectomy or/and exploration of common bile duct ,hepatectomy for atrophic lobe need not accomplish.