贵州医科大学学报

1988, (02) 297-299

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联合手术治疗复杂肝胆管结石症
TREATMENT OF COMPLICATED HEPATOLITHIASIS BY COMBINE OPERATION

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

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

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

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