三种治疗早期肝内胆管结石术式的临床效果分析

本文通过对三种治疗早期肝胆管结石患者术式的临床效果比较，结果表明，胆总管切开取石T管引流术（BSTD）虽能保存胆道正常的解剖结构，但术后结石复发率显著升高（P<0．05），皮下盲袢式胆肠内引流术（SLCJ）对预防术后肝胆管结石复发起到显著的效果，但术后并发症多且严重；而皮下通道型胆囊肝胆管成形术（STHG）非但未破坏胆道正常的解剖结构，而且利用功能良好的胆囊建立一皮下胆囊—肝胆管通道，为术后结石复发者提供了一简捷、可靠的治疗途径。

CLINICAL EFFECTS OF THREE TYPES OF OPERATION ON THE PATIENTS WITH EARLY INTRAHEPATOLITHIASIS

Through the analysis of clinical effects of three types of operation on the patients with early intrahepatolithiasis,wedrew the conclusions as follows: (1)although bile duct stone removal with T-tube drainage (BSTD) can keep normal anatomicalstructure of bile duct, postoprative stone recurrent rate significaltly increases. (2)Subcutaneous blindloop cholangio-jejunostomy(SLCJ) can effectively prevent intrahepatolithiasis recurrence,but it may be accompanied with more and severer complications. (3)Subcutaneous tunnel and hepatocholangioplasty with the use of gallbladder (STHG) not only can keep normal anatomical structureof bile duct but also provide a simple and reliable way for removal of recurrent stone by establishing a subcutaneous gallbladderhepatobliliary tunnel.