肝胆管结石并狭窄的外科治疗研究

目的　探讨肝胆管结石并狭窄外科治疗的有效方式。方法　总结６８ 例肝胆管结石并狭窄病人的诊疗结果、经验和体会。联合运用肝叶切除、狭窄胆管切开整形、胆肠吻合、盲袢置于皮下为主的方式方法治疗。结果　术后残留结石１７ 例，无死亡，随访５６ 例，随访时间１ － １０ 年，优良率８８．４２％ ，差者４ ．７３ ％ ，效果满意。结论　充分把握病情，合理选用并联合运用不同的方法是本病治疗的最佳选择。

Clinical study on surgical treatment of hepatic duct lithiasis and stricture.

Objective To evaluate an effective method of surgical treatment of hepatic bile duct lithiasis and stricture. Method Hepatolobectomy we combined with cholangiotomy and plastic operation, choledochojejunostomy, setting cecum of jejunum in hypodermis and so on. Results Residual stones were found in 17 cases. The operative mortality was zero. Patients were followed up in 56 cases from 1 to 10 years. Good result was achieved in 88.42%, while poor result was found only in 4.73%. Conclusion In these cases comprehensive and systemic surgical treatment should be the therapy of choice.