| 术前胆道引流对肝胆管结石合并胆汁性肝硬化的作用 |
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| 引用本文： | 韩殿冰,高峻,李海林,董家鸿.术前胆道引流对肝胆管结石合并胆汁性肝硬化的作用[J].中国局解手术学杂志,2008,17(4):233-234. |
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| 作者姓名： | 韩殿冰 高峻 李海林 董家鸿 |
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| 作者单位： | 郑州市第五人民医院普外三科 河南郑州450003(韩殿冰，高峻，李海林)，第三军医大学附属西南医院肝胆外科 重庆400038(董家鸿) |
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| 摘 要： | 目的探讨肝胆管结石合并继发性胆汁性肝硬化病人，在进行肝叶切除手术前行胆道引流（PBD）的作用。方法回顾性分析67例行肝叶切除治疗合并继发性胆汁性肝硬化的肝胆管结石病例，其中PBD组35例均行术前胆道引流，非PBD组32例未行术前胆道引流，将两组的肝功能变化、结石清除率、并发症发生情况等进行比较分析。结果PBD组的术前肝功能较入院前有所改善，术中结石清除率高于非PBD组，两组的手术并发症发生情况无显著差异。结论术前胆道引流虽然没有减少手术并发症，但可以改善术前肝功能，增加结石清除率。
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| 关 键 词： | 胆道引流 肝胆管结石 胆汁性肝硬化 |
Effect of preoperative biliary drainage for hepatolithus with biliary cirrhosis |
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| HAN Dian-bing,GAO Jun,LI Hai-lin,DONG Jia-hong.Effect of preoperative biliary drainage for hepatolithus with biliary cirrhosis[J].Journal of Regional Anatomy and Operative Surgery,2008,17(4):233-234. |
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| Authors: | HAN Dian-bing GAO Jun LI Hai-lin DONG Jia-hong |
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| Institution: | HAN Dian-bing, GAO Jun, LI Hai-lin, DONG Jia-hong ( Department of the 3rd General Surgery, the 5th People＇ s Hospital of Zhengzhou, Zhengzhou Henan 450003, China) |
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| Abstract: | Objective To explore the effect of biliary drainage before hepatic resection for biliary liver cirrhosis complicated with intrahepatic stones.Methods Totally 67 cases of biliary liver cirrhosis complicated with intrahepatic stones were devided into two groups.Thirty-five cases with preoperative biliary drainage for one group and 32 cases without preoperative biliary drainage for the other.Compared the two groups on hepatic function,stone clearance rate and operation complication.Results Preoperative biliary drainage can improve hepatic function and stone clearance rate.Conclusion Preoperative biliary drainage can not reduce operation complication,but it can improve hepatic function and stone clearance rate. |
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| Keywords: | biliary drainage hepatic lithiasis biliary cirrhosis |
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