【摘要】 【目的】总结和探讨肝胆管结石症合并肝硬化门脉高压的临床特点和处理方案。【方法】对本院1995~2004年收治的88例肝内胆管结石症合并各种肝硬化门脉高压患者的临床资料进行了回顾性分析。【结果】本组88例中治愈76例,死亡12例,病死率为13.4%。肝炎后肝硬化门脉高压组手术并发症和病死率均较高。【结论】对肝内胆管结石合并肝硬化门脉高压同期行肝叶切除及脾切除门奇断流术是可行的,是否合并肝炎病毒感染是影响临床转归的重要因素。更多还原

【Abstract】 【Objective】To investigate operation treatment and summarize clinical features of hepatolithiasis with hepatocirrhosis and portal hypertension.【Methods】Eighty eight patients with hepatolithiasis with hepatocirrhosis and portal hypertension undergone surgical treatment in our hospital in the past 10 years(1995-2004) were reviewed retrospectively.【Results】The incidence of complications was 45 % and 12 patientsdied,mortality rate was 13.4%.The incidence of complication and mortality in the post-hepatitis cirrhosis and portal hypertension group was significantly higher(P<0.05).【Conclusion】Duct exploration、Hepatolobectomy and splenectomy,disconnection operation would be performed simultaneously in most hepatolithiasis with hepatocirrhosis and portal hypertension.It is the significant factor to influence outcome whether patients infect hepatitis virus.更多还原