肝胆结石病的临床分析（附899例）

目的探讨肝胆结石病治疗的临床分析。方法回顾性分析我院普外科1992～2009年17年间899例肝胆结石病治疗的临床分析。结果肝胆结石、女性较多,胆囊、胆囊管、肝外胆管较多,肝内胆管较少,应重点术前检查与诊断。术中胆囊管的处理应彻底,急诊病人的手术应考虑全面。结论降低肝胆术后残石率,关键的问题是术前做相应的检查,术中胆囊管的处理应彻底,急诊病人在条件不允许的情况下应放置T管,这样可极大限度地减少残石发生。

Clinical Analysis of Hepatolithiasis(Enclosed 899 Cases)

Objective To explore the clinical analysis of hepatolithiasis.Methods Clinical information of 899 hepatolithiasis cases from 1992 to 2009 in department of general surgery was reviewed.Results Female constitute the majority in hepatolithiasis cases.The calculus mostly exists in gall bladder,cystic duct,extrahepatic bile duct,and less in intrahepatic bile duct.Doctors should focus on the examination and diagnosis before the operation.Treatment of cystic duct should be completely during the operation.The patient who is in urgent should be considered comprehensively.Conclusion The key point to reduce the rate of residual stone after the operation is to take corresponding measure before the surgery and deal with the cystic duct thoroughly during the surgery.Urgent cases can be placed T-pipe if the condition is not permited.With these approaches,the rate of residual stone can be reduced tremendously.