| 肝胆管结石并高位胆管狭窄的外科治疗 |
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| 引用本文： | 陈景繁,夏英银,商志远.肝胆管结石并高位胆管狭窄的外科治疗[J].现代医学,1996(2). |
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| 作者姓名： | 陈景繁 夏英银 商志远 |
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| 作者单位： | 柳州铁路中心医院肝胆外科 |
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| 摘 要： | 治疗肝胆管结石并高位胆管狭窄７４例。术中通过高位胆管的充分暴露，１～３级胆管切开整形、肝切除的正确应用，纤维胆道镜检及取石，大口胆肠内引流等多种手术的联合使用，提高了手术疗效，降低了残石率．认为术前详细的路道影像学检查、对手术难度的充分预测、术式的正确选择等非常重要．强调术中病肝切除的重要性．
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| 关 键 词： | 肝胆管结石，高位狭窄，肝切除 |
Surgical Treatment of Intrahepatic Stones with High Biliary Stricture |
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| Chen Jin-fan, Xia Ying-yin,Shang Zhi-yuan..Surgical Treatment of Intrahepatic Stones with High Biliary Stricture[J].Modern Medical JOurnal,1996(2). |
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| Authors: | Chen Jin-fan Xia Ying-yin Shang Zhi-yuan |
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| Abstract: | cases of intrahepatic stones with high biliary strictures were treated with the combination of various surgical precedures, including full exposure of primary to tertiary hepatic ducts from hepatichilam, plastic repair of the structured ducts, reasonable use of hepatic lobectomy with flexible choledochoscope and choledojejunostomy. Results showed that the effect of operation were strikingly improved and the rate of retained stones were reduced.We suggest routine preoperation cholangiography for recognizing the difficulty of operation and correct choice of various operation procedures. |
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| Keywords: | intrahepatic stone high biliary stricture hepatic lobectomy |
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