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原发性胆管结石大多呈泥沙样,单纯依靠一次手术往往很难彻底清除,少量结石残留于胆管,影响手术效果.笔者1991~1997年,对术后残留、复发性结石,以中西医结合的方法治疗36例,取得了良好效果.现总结分析如下.1 一般资料本组36例,均在一次胆道手术后,结石残留、复发,多因合并感染而就诊.其中住院23例,门诊13例;男12例,女24例;年龄25~70岁,平均52岁.所有病例均经B超检查确诊,其中单纯肝内胆管结石18例,肝内外胆管结石11例,单纯肝外胆管结石7例.27例为胆总管探查术后,9例为胆肠吻合术后.
Most of the primary bile duct stones were sediment-like, often relying on a single operation is often difficult to completely remove a small amount of residual stones in the bile duct, affecting the surgical results .I author from 1991 to 1997, the residual residual recurrent stones in order to combine traditional Chinese and Western medicine Of the treatment of 36 cases, and achieved good results. Now summarized as follows .1 General information The group of 36 patients, after a biliary surgery, residual stones, recurrence, and more due to infection and treatment, including hospitalization in 23 cases, outpatient 13 Cases: 12 males and 24 females, aged 25 to 70 years, mean 52 years old.All cases were confirmed by B-ultrasound, including simple intrahepatic choledocholithiasis in 18 cases, extrahepatic extrahepatic bile duct stones in 11 cases, simple extrahepatic bile duct stones 7 cases .27 cases of common bile duct exploration, 9 cases of choledochojejunostomy.