摘要
目的探讨复杂性肝胆管结石及狭窄的手术治疗方法。方法回顾性分析我院2005年1月至2010年1月60例接受手术治疗的复杂性肝胆管结石及狭窄患者的病例,观察术后并发症及使用消炎利胆片或中医中药后结石复发情况。结果 60例患者手术均成功,术后经B超、T管照影以及CT检查发现有11例有结石残余,经T管窦道用胆道镜取结石3~8次后11例患者结石均取尽;手术后胆道出血1例,伤口感染1例,经药物保守治疗后均治愈。离院后随访,有1例在术后1年内复发,其余未复发且经B超检查未发现异常。结论外科手术是治疗复杂性肝胆管结石及狭窄的有效方法。
Objective To discuss the surgical method for complex hepatic duct lithiasis and stricture.Methods The clinical data of 60 patients who underwent surgery for complex hepatic duct lithiasis and stricture in our hospital from January 2005 to January 2010 were retrospectively analyzed.The postoperative complication and recurrence after taking Chinese medicine or Xiao Yan Li Dan tablets were observed.Results The surgeries of all 60 patients were successful.Lithiasis residues were found in 11 cases by B-ultrasonography,T-tube photography and CT examination and were removed by choledochoscope 3~8 times through sinus tract.One case of hemobilia and one case of wound infection were found after the surgery but both recovered after conservative treatment.During the follow-up,all cases were normal according to the results of B-ultrasonography except one cases of recurrence one year after the treatment.Conclusion Surgical treatment is an effective method for complex complex hepatic duct lithiasis and stricture.
出处
《局解手术学杂志》
2011年第1期34-35,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
肝胆管结石
肝切除术
胆道狭窄
胆道镜
hepatic duct lithiasis
hepatectomy
biliary stricture
choledochoscope
