| 肝胆管结石153例临床分析 |
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| 引用本文： | 胡振雄,严永卿,陈易人. 肝胆管结石153例临床分析[J]. 苏州大学学报(自然科学版), 1987, 0(4) |
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| 作者姓名： | 胡振雄 严永卿 陈易人 |
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| 作者单位： | 苏州医学院附属第一医院普外科(胡振雄，严永卿)，苏州医学院附属第一医院普外科(陈易人) |
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| 摘 要： | 1972年～1986年,我科共收治肝胆管结石153例,占同期手术治疗1448例胆石症的10.4%,占793例胆管结石的19.3%。以往有1～3次胆系手术史者101例。急症入院的83例中,48例作急诊手术。69例入院时计有126个并发症。死亡18例,病死率11.76%。83例作了随访,2月～14年,平均5年,结果属优60.2%,良19.3%,差15.7%,死亡4.8%,以肝叶切除的效果最好。本文对肝胆管结石的诊断、并发症、手术方式的选择及手术的原则进行了讨论。
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| 关 键 词： | 肝胆管结石 并发症 病死率 胆肠吻合 肝切除 |
Clinical Analysis of 153 Cases of Intrahepatic Bile Duct Stones |
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| Hu zhenxiong et al. Clinical Analysis of 153 Cases of Intrahepatic Bile Duct Stones[J]. Suzhou University Journal of Medical Science, 1987, 0(4) |
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| Authors: | Hu zhenxiong et al |
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| Affiliation: | Hu zhenxiong et al |
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| Abstract: | Between 1972 to 1986, we treated 153 patients with intrahepatic bile duct stones. This accounted for 10.4% of the 1448 operated patients with cholelithiasis and 19.3% of the 793 cases with biliary duct stones in the same period. Among 153, 101 patients had been previously operated for 1 to 3 times. 48 out of 83 patients having acute cholangitic were operated emergently. The total number of complications were 126 in 69 patients, 18 died with an opertive mortality of 11.76%. 83 were followed up for 2 months to 14 years, with an average of 5 years. The results were excellent in 60.2%, good in 19.3%, poor in 15.7%., and late death in 4.8%. The patients operated with hepatic lobectomy showed the best results. The diagnosis, complication and selection of opertive methord of intrahepatic stones were discussed. |
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| Keywords: | intrahepatic bile duct stones biliary-intestinal anastomosis hepatic resection |
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