摘要
目的探讨外科手术和纤维胆道镜治疗肝内胆管结石并狭窄的疗效。方法回顾性总结了1982年1月至1999年10月期间经手术及胆道镜处理的1795例肝内胆管结石病例。结果资料显示左肝管结石368例(占34.7%),右肝内胆管结石128例(12.1%),左右肝内胆管均有结石563例(占53.2%),349例(32.1%)合并有胆管狭窄,其中左肝管狭窄165例(47.3%),右肝管狭窄114例(32.7%),肝门胆管狭窄70例(20.0%)。结论手术方式的选择取决于肝内胆管结石类型及其病理分期,纤维胆道镜在处理肝内胆管结石中起到了重要作用。
Objective To investigate the therapeutic efficacy of operation and cholangioscopy in treatment of intrahepatobiliary tract stones and biliary strictures.Methods The clinical data of 1795 patients with intrahepatobiliary tract stones treated with surgery alone/or with cholangioscopy in our hospital were retrospectively analyzed.Results Amongst the 1795 patients,368(34.7%)were with intrahepatobiliary tract stones on the left side,128(12.1%)on the right side and 563(53.2%)on both sides.A total of 349 patients had the complication of biliary tract stricture(32.1%).Of these 349 patients,165(47.3%)were with stricture of the left intrahepatobiliary tract,114 with that of the right intrahepatobiliary tract and 70(20.0%)with that of hepatic hilus biliary tract.Conclusions The operative procedure should be selected according to types of intrahepatobiliary tract stones and their pathological features.Cholangioscopy may play an important role in treatment of intrahepatobili- ary tract stones.
出处
《中华肝胆外科杂志》
CAS
CSCD
2001年第10期587-589,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
胆结石
狭窄
纤维胆道镜
治疗
Cholelithiasis
Stricture
Cholangioscopy
Treatment
