摘要
本文报告３９例尾叶结石的诊断和治疗。尾叶胆管是肝内结石高发区之一，本组占肝内结石病人的２５．１６％（３９／１５５）。术前Ｂ超检查仅２例做出诊断（２／３９），ＰＴＣ仅２例确诊（２／１２），３８例是在手术时取净肝外胆管、左、右肝内结石后再行术中Ｂ超检查时确诊定位．因此常规的术中Ｂ超检查和监督对尾叶结石的显示和定位是非常必要的。本文对尾叶结石的诊断和手术方式进行了讨论．
The diagnosis and therapeuy of 39 cases with hepatic caudate lobe stone(CLS) were reported.As one of high-incidence site,lithiasis in hepatic caudate lobe account for 25.16%(39/155) of intrahepatic stone(IHS) in same period.Preoperative diagnosis was only made in 2 cases by ultrasonography and 2 cases by percutaneous transhepatic cholangiography(PTC).Accurate diagnosis of 38 cases of CLS in this series was made during operation after complete removal of extra and intrahepatic stones,since routine intraoperative ultrasonographic scanning(IOUS) showed the presence and exact loacation of CLS.According to the location ane patterns of openning of caudate lobe hepatic duct disclosed in operation,the diagnosis and operative treatment of CLS were discussed.
出处
《肝胆外科杂志》
1996年第3期145-147,共3页
Journal of Hepatobiliary Surgery
关键词
尾叶结石
肝内结石
诊断
治疗
Hepatic caudate lobe stones Intraoperative ultrasonography Intrahepatic stones
