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规则性肝切除联合胆道镜治疗肝内胆管结石43例

Regular hepatotomy combined with choledchoscope for hepatolithiasis:a report of 43 cases

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【作者】 沈宗义叶世进徐杰明王树平

【Author】 SHEN Zong-yi,YE Shi-jin,XU Jie-ming,WANG Shu-ping(Department of Hepatobiliary,Tongcheng People′s Hospital,Tongcheng Anhui 231400,China)

【机构】 安徽省桐城市人民医院肝胆外科

【摘要】 目的:探讨肝内胆管结石有效治疗方法。方法:43例肝内胆管结石均根据结石部位行规则性肝切除联合胆道镜探查取石。结果:术后症状未消失2例,其中偶有胆管炎发作1例,胆管炎反复发作,有残余结石,需再次手术1例。结论:规则性肝切除联合胆道镜治疗肝内胆管结石不仅安全、有效,而且明显降低结石残余率。

【Abstract】 Objective:To explore an effective procedure for management of hepatolithiasis.Methods:The clinical data of 43 patients with hepatolithiasis were analyzed retrospectively.All the cases were treated by regular hepatotomy combined with choledchoscope according to the stone location.Results:No improvement was observed in 2 cases.One of them occasionally had cholangitis,and the other had residual stones and recurrent cholangitis which needed reoperation.Conclusions:The procedure of regular hepatotomy combined with choledochoscope is safe and effective,and may significantly reduce the rate of residual stones.

【关键词】 胆结石肝切除术胆道镜
【Key words】 hepatolithiasishepatectomycholedochoscope
  • 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medical College , 编辑部邮箱 ,2010年07期
  • 【分类号】R657.4
  • 【被引频次】3
  • 【下载频次】18
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