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1986年12月至1996年12月手术治疗肝硬化并胆石症38例,现报告如下。1 临床资料1.1 一般资料 男21例,女17例;年龄34～72岁,平均52岁。肝病史最长17年,最短6个月。术中见肝脏均有不同程度的萎缩变硬,表面呈现大小不一的赭石样结节。Child-Push分级:肝功能A级21例、B级10例、C级7例。患结石时间最长11年,最短4个月。全部病人均有上腹、右上腹疼痛病史,有黄疸史者11例。术后确诊胆囊结石26例,合并胆总管结石4例,单纯胆总管结石7例,左肝内胆管结石1例。术前确
December 1986 to December 1996 surgical treatment of cirrhosis and cholelithiasis in 38 cases, are as follows. 1 Clinical data 1.1 General Information 21 males and 17 females; aged 34 to 72 years, mean 52 years old. Liver history up to 17 years, the shortest 6 months. Intraoperative see the liver has varying degrees of atrophy hardened, the surface showed different sizes of ocher-like nodules. Child-Push classification: A grade in 21 cases of liver function, B grade in 10 cases, C grade in 7 cases. Suffering from stones up to 11 years, the shortest 4 months. All patients have upper abdomen, right upper quadrant pain history, history of jaundice in 11 cases. Postoperative diagnosis of gallbladder stones in 26 cases, 4 cases of common bile duct stones, simple common bile duct stones in 7 cases, left bile duct stones in 1 case. Preoperative indeed