新型肝内胆管结石病临床病理分型和治疗体系之我见

New clinical pathological classification and treatment system for hepatolithiasis

肝内胆管结石病简称肝石病,病情复杂、病变广泛.现有多种临床分型,但不能准确反映肝石病的病变范围及其程度,也不利于交流;治疗方法多样,但应用比较混乱.我们尝试建立基于肝石病临床病理特点的新型HLDO分型以及基于该分型的肝石病治疗体系,力求全面准确地描述肝石病病变范围及其程度,科学合理施治,以降低结石残留率和复发率.

Hepatolithiasis is a complex disease with extensive lesions.There are currently many clinical classifications available.However,these classifications cannot accurately reflect the pathological changes and degree of hepatolithiasis,and are not conducive to communication.Various methods are used for treatment of hepatolithiasis,but they are often misused.We tried to establish a new HLDO classification based on the clinicopathological characteristics of hepatolithiasis and a treatment system based on this classification,so as to comprehensively and accurately describe the pathological changes and degree,scientifically and reasonably treat it,and reduce its residual stone rate and recurrence rate.