肝胆管结石及狭窄手术治疗体会

Surgical treatment for intrahepatic bilary duct calculi and strictures

摘要:

本文总结164例肝胆管结石及狭窄的手术治疗,强调根据结石及胆管狭窄的部位,确定手术方式,本组胆管狭窄116例(70.7%),术后残石率37%。胆管内置管127例(77.4%),经纤维胆道镜检查,残石取净率达92.6%,认为术中胆管内置管是十分必要的。

Abstract:

This paper gives a summary of surgical treatment for 164 cases of intrahepatic bilary duct calculi and bile duc- tal atrictures and the surgical methods should be deter- mined especially by the locations of stones and bile duc- tal strictures.In this group there occur 116 cases of duc- tal strictures (70.7%),post-operative residual stones 37% and 127 cases with indwclling catheters in the bile duct(77.4%).Through an cxamination of cholcdo- chofiberscope,the removal of residual stones is 92.6%. Thus,indwelling catheters in the bile duct during an op- eration are considered to be extremely necessary.