【摘要】 根据临床和尸检材料,介绍了诊断肝胆管狭窄的标准,并提出了真性狭窄和相对狭窄的概念。将65例肝胆管狭窄与50例无狭窄病案对各种手术疗效进行对比,可以看出,存在肝胆管狭窄合併肝内结石是影响疗效的重要因素。从发病率高、肝损害严重、再次手术率高、疗效差和病死率高五个方面说明肝胆管狭窄的临床重要性。最后,对肝胆管狭窄的诊断和治疗提出了几点意见,并对狭窄的成因和结石的关系作了简短讨论。更多还原

【Abstract】 According to clinical and autopsy materials, we recommend the diagnostic criteria of hepatic duct stenosis, and give our conception of the real stenosis and relative stenosis, The real stenosis is subject to the diameter of stricture less than 4mm. whereas the relative stenosis is applied to that the constricting ring may even be big enough to allow insertion of index finger, but there is cystic dilatation above the stricture. The therapeutic effects of various operative technic compared between presence and absence of hepatic duct stenosis reveal that hepatic duct stenosis is responsible for lower curability and higher recurrence rate, contributing the most important factor for the therapeutic result. It is of clinically importance in various aspects, in which the incidence is rather high, hapatic damage is severe, reoperability is high, response to therapy is poor, and mortality rate is high. Finally, sereral viewpoints for diagnosis and treatment of hepatic duct stenosis have been suggested, and the causes of stricture formation and its relation with intrahepatic calculi are discussed briefly.更多还原