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肝胆管结石并狭窄的手术失误125例探讨
引用本文:张成裕,沈立荣,刘恕,刘浔阳. 肝胆管结石并狭窄的手术失误125例探讨[J]. 中南大学学报(医学版), 1990, 0(2)
作者姓名:张成裕  沈立荣  刘恕  刘浔阳
作者单位:湖南医科大学第一附属医院外科(张成裕,沈立荣,刘恕),湖南医科大学第一附属医院外科(刘浔阳)
摘    要:报告肝胆管结石手术失误125例。并讨论手术改进措施。手术治疗未能取得预期效果,和术前无明确的诊断因而手术带有盲目性、遗留肝脏病灶没有处理;没有正确掌握胆道内引流的指征和技术规范;没有正确的手术前和手术后处理;以及肝胆管结石并狭窄病变广泛而复杂等因素有关。

关 键 词:胆石症  胆汁淤积  肝内  手术后并发症  外科手术

EVALUATION ON OPERATIVE FAULTS IN INTRAHEPATIC STONES ASSOCIATED WITH BILIARY STRICTURE
Zhang Chengyu Shen Lirong Liu Shu Liu Xinyang. EVALUATION ON OPERATIVE FAULTS IN INTRAHEPATIC STONES ASSOCIATED WITH BILIARY STRICTURE[J]. Journal of Central South University. Medical sciences, 1990, 0(2)
Authors:Zhang Chengyu Shen Lirong Liu Shu Liu Xinyang
Affiliation:Zhang Chengyu Shen Lirong Liu Shu Liu XinyangDepartment of Surgerv. The First Affiliated Hospital. Hunan Medical University
Abstract:From Jan. 1981 to May 1989, 125 cases of intrahepatic stones with prior surgical errors and associated complications were presented, and the problem concerning improvement in surgical technic was commented. Analysis of prior surgical malpractice, revealed that no precise preoperative diagnosis, result in blindfold, the absence of definitive treatment on intrahepatic lesions, the inadequacy in mastering operative indications and standard technic of bilio-enteral anastomosis , the inappropriate pre and postoperative managements. and the presence of diffuse and complicated intrahepatic stones and strictures.
Keywords:cholelithiasis  cholestasis   intrahepatic  postoperative complica- tions  surgery
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