| 胆总管探查取石术后下端梗阻未解除的原因分析及对策 |
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| 引用本文： | 盛华嵩,鲍恩武,范育林. 胆总管探查取石术后下端梗阻未解除的原因分析及对策[J]. 肝胆外科杂志, 2015, 23(2): 104-106 |
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| 作者姓名： | 盛华嵩 鲍恩武 范育林 |
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| 作者单位： | 武警安徽省总队医院普外一科,合肥,230041 |
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| 摘 要： | ![]()
目的探讨胆总管切开取石术后胆总管梗阻未解除的原因及处理对策。方法回顾性分析我院2005年1月-2013年8月23例胆总管取石+"T"型管引流术的患者临床资料,术后行"T"管造影提示胆总管下端仍阻塞。结果 23例患者经检查确诊胆总管下端嵌顿性结石12例,胆总管下端良性狭窄2例,胰头部病变9例(胰头癌6例,肿块型胰腺炎3例),通过再次处理,梗阻均得以解除,随访效果良好。结论少数胆总管结石术后的患者,即使术中取尽结石,术后胆总管仍梗阻,临床上常被认为是残余结石所致,而漏诊可能合并存在的其他病变。只有术前周密的诊查,术中仔细的胆道探查,术后胆总管不通畅的患者尽早行影像学检查排查,才能得到早诊断、早治疗。
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| 关 键 词： | 胆总管结石 胆道探查术后 胆道梗阻 病因 |
The cause analysis and treatment of the lower common bile duct obstruction after the operation of common bile duct stone extraction |
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| SHENG Hua-song,BAO En-wu,FAN Yu-lin. The cause analysis and treatment of the lower common bile duct obstruction after the operation of common bile duct stone extraction[J]. Journal of Hepatobiliary Surgery, 2015, 23(2): 104-106 |
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| Authors: | SHENG Hua-song BAO En-wu FAN Yu-lin |
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| Affiliation: | SHENG Hua-song;BAO En-wu;FAN Yu-lin;The first Department of General Surgery. Anhui Corps Hospital of Chinese People’s Armed Police Force; |
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| Abstract: | ![]()
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| Keywords: | choledocholithiasis exploration of biliary tract postoperation biliary obstruction etiology |
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