摘要
目的 总结肝内胆管结石的外科治疗经验。方法 对 16 8例肝内胆管结石临床资料进行分析。结果 16 8例中肝叶切除 6 2例 (36 9% ) ,优良率 93 5 % ;胆管十二指肠间置空肠人工乳头 2 0例 (11 9% ) ,优良率 90 0 % ;胆管空肠Roux en Y吻合 44例 (2 6 2 % ) ,优良率 86 4% ;胆管探查T管引流 42例 (2 5 0 % ) ,优良率 78 6 %。本组手术死亡 2例 ,死亡率 1 2 %。结论 上述各种手术方式均取得较好效果 ,关键是手术方式必须根据病人具体情况 ,选择安全、有效的术式 ,以降低并发症和死亡率。
Objective To summarize the experience of surgical treatment of intrahepatic gallstones. Methods Analysis of the clinical data of 168 patients with intrahepatic gallstones was made retrospectively. Results Of the 168 cases, hepatectomy was proformed on 62 cases(36.9%), 93.5% of the patients showed excellent or good result; cholangioduodenostomy with interposition of jetunum(CDJAP) and artifical papilla on 20 cases(11.9%), 90.0% of the patients showed exellent or good result; Roux en Y cholangiojejunostomy on 44 cases(26.2%), 86.4% of the patients had excellent or good result; exploration of bile duct and T tube drainage on 42 cases(25.0%), 78.6% of the patients showed excellent or good result. Two cases(1.2%) died postoperaitvely. Conclusions All of the operative procedures mentioned above for hepatolithiasis had good results in this series. The pattern of operation must selected an effective and safe procedure according to the patients to decrease the operative complication and mortality.
出处
《中国普通外科杂志》
CAS
CSCD
2000年第2期104-107,共4页
China Journal of General Surgery
