| 摘要: |
| ［摘要］ 肝内胆管结石是我国的常见病和难治性胆道疾病。 肝胆管结石病的诊断早期B超检查，术前诊断应以联合应用B超、CT和/或MRI为主的定位检查；治疗要早期治疗，且倾向外科手术，原则是去除病灶，取尽结石，矫正狭窄，通畅引流，防治复发，手术采用个体化治疗方案选择合适的手术方法，联合术中、术后内镜及微创技术的治疗可有效降低结石残留和复发率。本文复习相关文献并作综述性报道。 |
| 关键词: 肝内胆管结石 外科治疗 内镜/微创技术 现状与进展 |
| DOI：10.3969/j.issn.1674-3806.2009.05.023 |
| 分类号:R 657.4 |
| 基金项目: |
|
| Present situation and progress on surgical treatment in intrahepatic bile duct lithiasis |
|
LAN Zhi
|
|
The Fourth People′s Hospital, Nanning 530023, China
|
| Abstract: |
| ［Abstract］ The intrahepatic bile duct lithiasis is a common disease and refractory biliary duct disease in our country.B-ultrasound examination is used for liver bile duct lithiasis diagnosis in early time.The combination examination of B- ultrasound, CT and/or the MRI mainly should been used for preoperative localization;The treatment should been performed in early time, also its tendency is surgical operation.The principle are to remove the focus of infection, take out completely stone, correct narrow retain, unobstructed drainage, prevent and control recrudescence.The surgery should been performed by means of using the individuation treatment plan and selecting appropriate surgery method.It is possible effectively to reduce the residual stones and the recurrence rate by the combination application of endoscope and microinvasive techniques during and affer operation.This article reviews the relevant literature and makes a summary report. |
| Key words: Intrahepatic bile duct stone Surgical treatment Endscope/micro-invasive technique Present situation and progress |
