摘要
肝内胆管结石病(hepatolithiasis)是一种亚洲常见的良性胆道疾病,我国也是该疾病的高发地区之一,尤其在长江流域及南方发病率更高。因其起病隐匿、手术后结石残留率、手术复发率及再次手术率均较高等特点,一直是肝胆外科医生研究的重点及难点,不加予干预最终结局将进展为肝硬化,更甚者发生胆管癌变。目前认为外科手术是治疗肝胆管结石病的最有效方式。随着对肝胆管结石病病因研究的深入、分型方式的不同、影像技术的进步、治疗手段的多样化,对于该疾病的治疗需要制定个性化、系统化方案。本文对肝胆管结石病的流行病学、分型、诊断及治疗等方面进行综述,旨在为该疾病的治疗提供依据。
Hepatolithiasis is a common benign biliary disease in Asia.China is also one of the areas with high incidence of this disease,especially in the Yangtze River Basin and South China.It has been the focus and difficulty of hepatobiliary surgeons because of its insidious onset,high rate of residual stones after surgery,high rate of surgical recurrence,and high rate of reoperation.Without intervention,the final outcome will progress to liver cirrhosis,or even cholangiocarcinoma.At present,surgery is considered to be the most effective and best way to treat hepatolithiasis.With the deepening of the research on the etiology of hepatolithiasis,the different classification methods,the progress of imaging technology,and the diversification of treatment methods,the treatment of hepatolithiasis needs to be personalized and systematic.This article reviews the epidemiology,classification,diagnosis and treatment of hepatolithiasis,in order to provide a basis for the treatment of this disease.
作者
冯玥
卢汉原
陈家诚
武金才
FENG Yue;LU Han-yuan;CHEN Jia-cheng;WU Jin-cai(Department of Hepatobiliary and Pancreatic Surgery,Hainan Affiliated Hospital of Hainan Medical University/Hainan General Hospital,Haikou 570311,Hainan,CHINA)
出处
《海南医学》
CAS
2024年第20期3031-3036,共6页
Hainan Medical Journal
基金
海南省重点研发项目(编号:ZDYF2020134)。
关键词
肝胆管结石
流行病学
分型
诊断
治疗
Hepatobiliary stones
Epidemiology
Typing
Diagnosis
Treatment
