摘要
肝内胆管结石是我国的常见病和难治病。目前外科治疗的主要治疗手段有经肝外胆管切开取石术、肝部分切除术、胆肠吻合术、肝移植术以及术中辅助措施如纤维胆道镜、B超和介入手段等。其中,肝部分切除术和胆肠吻合术是治疗本病最常用的术式,但任何一种手术方法和治疗措施不可能解决各种不同类型的结石,因此给予针对性的个体化手术,以尽可能提高结石清除率、降低术后并发症,是目前外科手术治疗的共识。
Intrahepatic bile duct stone is a common disease in our country, and it is difficult to cure. Main surgical treatments of intrahepatic bile duct stone include extrahepatic bile duct lithotomy, partial hepatectomy, liver transplantation bil- iary enteric anastomosis and intraoperative adjunctive measures such as fiber choledochoscope, buhrasound and interven- tional methods etc. The partial resection of the liver and biliary enteric anastomosis treatment of this disease are the most common type of operation, but any kind of operation methods and treatment measures may not solve various types of stones. So according to the specific circumstances of different operation method, giving the targeted individual operation, maximiz- ing the stone-free rate, reduction of postoperative complications is the current consensus of surgical treatment.
出处
《中国当代医药》
2012年第25期15-16,18,共3页
China Modern Medicine
关键词
肝内胆管结石
经肝外胆管切开取石术
肝部分切除术
胆肠吻合术
肝移植术
Intrahepatic bile duct stone
Extrahepatic bile duct incision
Partial hepatectomy
Liver transplantation biliary enteric anastomosis
