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肝胆管结石术后疗效观察
引用本文:郭仁宣,李捷雷,沈魁,何三光.肝胆管结石术后疗效观察[J].中国医科大学学报,1988(5).
作者姓名:郭仁宣  李捷雷  沈魁  何三光
作者单位:中国医科大学附属第一医院外科 (郭仁宣,李捷雷,沈魁),中国医科大学附属第一医院外科(何三光)
摘    要:按本文提出的病型分类方法对121例肝胆管结石进行术后随访,结果表明:肝内、上部、下部胆管狭窄型及胆管无狭窄型分别以肝叶切除、肝门部狭窄胆管切除或整形胆肠吻合、胆总管空肠吻合或Oddi括约肌成形、胆总管切开取石术为基本术式,术后疗效较好。多数病例术后残余结石长期存在,肝功能恢复与残余结石有直接关系。

关 键 词:肝胆管结石  胆管狭窄  病型分类  胆肠吻合  残余结石

OBSERVATION OF THE POSTOPERATIVE EFFECTS OF CHOLELITHOTOMY
Guo Renxuan,et al.OBSERVATION OF THE POSTOPERATIVE EFFECTS OF CHOLELITHOTOMY[J].Journal of China Medical University,1988(5).
Authors:Guo Renxuan  
Abstract:According to our methed of classification of cholelithes, 121 patients were followed up postoperatively.The results showed that hepatic lobcctomy, resection of portal stenosed biliary duct or plasty cholangio-enterostomy, choledccho-jejumostomy or Oddi's sphincteroplasty, and choledocholithotomy were primary operations respectively for the tyFe of intrahepatic biliary stenesis, the type of biliary duct stenosis at upper part, the type of biliary duct stencsis at lower part, and the type without biliary duct stenosis; and the postoperative curative, offects were satisfactory. The pcstoperative residual gallstones remained for a long time in most patients and the recovery of liver functions has direct rolation to the residual gallstones.
Keywords:Hepatoloth  Stenosis of biliary duct  Claasification of cholelithes  Cholangicenterostomy  residual gallstone
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