周怀文;夏亮芳;曹本贤;
Zhou Huaiwen,Department of General Surgery of the Affiliated Hospital

• 1: 贵阳医学院外科学教研室
• 2:贵阳医学院外科学教研室
• 3:贵阳医学院外科学教研室

摘要(Abstract)：

采用肝叶切除、肝管整形、肝管胆总管空肠吻合等几种比较定型化的术式联合应用。治疗肝内结石合并肝胆管多处狭窄的病变30例,治愈28例。随访1～11年,效果优者23例占82.14%。
Thirty patients of complicated hepatolithiasis with multiple stricture of the hepatocholanges have been operated by typical surgical operation,such as hepa- tolobectomy,hepaticoplasty,hepatocholangiojejunostomy etc.Of these patients, 28 were cured,and have been followed up for 1-11 years,the results were exce- llent in 23 cases(82.14%).Combine examination with type B ultrasonography, P.T.C.and cholangiography intraoperatively may be beneficial for localization of the stone.In the choice of the operation,the authors suggested some following prineiples: Hepatolobectomy may be used for the patients with stones and cho- langiostrictures located in a lobe only.If it complicated with stricture of right or left hepatic duct orifice,the hepaticoplasty at first and thencholangiojejunos- tomy may be suitable.In the stricture at left hepatic duct orifice accompanied with slight stricture of right hepatic duct more than Ⅱgrade,the cholangio- plasty,dilating the stricture,U-tubestent to biliary stricture and cholangiojeju- nostomy may be performed.When a stricture at the communication of hepatic duct existed,a cholangiojejunostomy after hepaticoplasty may be suitable.

关键词(KeyWords)： 肝胆管结石;肝叶切除术;肝管整形术;肝管胆总管空肠吻合术;联合手术
Hepatolithiasis;Hepatolobectomy;Hepaticooplasty;Hepatocholangiojejunostomy;Combine operation

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 周怀文;夏亮芳;曹本贤;
Zhou Huaiwen,Department of General Surgery of the Affiliated Hospital

Email:

DOI: 10.19367/j.cnki.1000-2707.1988.02.042

参考文献(References)：

• 1． 黄志强.肝胆管结石外科治疗的经验.普通外科专题讨论会文集.大连1984．
• 2． 柿 田章ほガ.肝内结石症,临床杂志外科1985;47:1297．
• 3． 中国人民解放军第三军医大学第一附属医院《胆道外科》编写组.胆道外科.北京:人民卫生出版社1976:198．
• 4． 佐藤寿雄ほガ。肝内结石症の诊断治疗.日本临床1981;39:172．

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