目的 減少肝內膽管結石術后的殘留。方法 回顧性分析近5年我科收治的50例肝內膽管結石病例行病灶肝切除并結合術中、術后膽道鏡應用的近期療效及術后殘石率。結果 術后近期并發癥發生率為8%,無膽漏、肝衰及手術死亡發生,術后B超、逆行T管造影及術后膽道鏡檢查證實的即期殘石率僅4%(2例)。結論 減少肝內膽管結石術后結石殘留的關鍵是術中術后膽道鏡的使用,肝內及肝門膽管狹窄的徹底處理; 依據狹窄膽管所引流區域行“根治性”的肝組織切除是取盡結石,清除病灶的合理方法。
Citation: 寧平,盧實春,陳啟勛,夏天,嚴律南,陳靜. EXPERIENCE OF REDUCING THE RATE OF RESIDUAL STONE AFTER SURGICAL TREATMENT OF HEPATOLITHIASIS (REPORT OF 50 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(5): 344-345. doi: Copy
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