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对胆石病诊疗的几点意见及经验

Clinical opinions and experiences in diagnosis and treatment of cholelithiasis

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【作者】 吴金术陈晨蔡翊李浩

【Author】 WU Jin-shu;CHEN Chen;CAI Yi;LI Hao;Department of Hepatobiliary Surgery, Hunan Provincial People’s Hospital;

【机构】 湖南省人民医院肝胆外科

【摘要】 目的总结胆石症的治疗经验。方法对该院2012年1月~2013年1月收治的3 257例胆石症患者进行回顾性总结分析并分享特殊病例诊治经验。结果全组无手术死亡病例,术后并发症包括切口脂肪液化、胆瘘等,均经保守治疗痊愈,无膈下脓肿、胆道出血等并发症。结论肝内胆管结石外科治疗方法多样,临床应遵循"个体化治疗"方案,选择适当的手术方法,尽可能做到"肝胆四保",即"保肝、保胆囊、保胆管、保Oddis括约肌"。

【Abstract】 【Objective】 To summarize experience in diagnosis and treatment of cholelithiasis. 【Methods】3 257 cases of cholelithiasis patients treated in our hospital from January 2012 to January 2013 were retrospectively analyzed and shared diagnosis and treatment of special cases. 【Results】 There were no operative deaths, and the postoperative complications including wound fat liquefaction, biliary fistula, are cured by conservative treatment, no subphrenic abscess, biliary tract bleeding and other complications. 【Conclusion】Surgical treatment of intrahepatic bile duct stones varied, clinical should follow the personalized treatment program, select the appropriate surgical approach, as possible hepatobiliary four preservation, or protecting liver, gallbladder, bile duct and Oddis sphincter.

  • 【文献出处】 中国现代医学杂志 ,China Journal of Modern Medicine , 编辑部邮箱 ,2014年14期
  • 【分类号】R657.4
  • 【被引频次】9
  • 【下载频次】202
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