摘要
胆囊结石合并肝硬化门静脉高压症在临床并不少见,其发病率逐年增高,是非肝硬化患者的2~3倍,肝硬化门静脉高压可导致局部及全身的多种生理变化,并可促进胆囊结石的发病.由于肝硬化门静脉高压所造成的肝功能和凝血功能障碍,使手术难度和风险明显增加.目前,学者们在手术方式及手术分期的选择上仍有争议.现就对胆囊结石合并肝硬化门静脉高压症的发病机制及外科治疗进行综述.
Gallstone associated with cirrhotic portal hypertension is not uncommon in clinic, and its incidence rate increased year by year, presenting 2- 3 times of the incidence rate of non-cirrhotic patients. Cirrhotic portal hypertension can lead to a variety of local and systemic physiological changes, and it can promote the incidence of gallstones. Due to the dysfunction of the liver and the blood coagulation which are caused by cirrhotic portal hypertension, the surgical difficulty and risk increases significantly. Currently, scholars still have certain controversy in the options of surgical methods and surgical staging. Now let me review and summarize the pathogenesis and surgical treatment of gallstone associated with cirrhotic portal hypertension.
作者
刘泰铭
张新晨
Liu Taiming Zhang Xinchen.(Department of Liver Surgery, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)
出处
《中国医师进修杂志》
2017年第6期568-570,共3页
Chinese Journal of Postgraduates of Medicine
关键词
胆囊结石病
肝硬化
门静脉高压症
发病机制
外科治疗
综述
Cholecystolithiasis
Liver cirrhosis
Portal hypertension
Pathogenesis
Surgical treatment
Review
作者简介
通信作者：张新晨，Email：marschenxin@hotmail．com.
