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目的:探讨胆总管结石致急性梗阻性黄疸手术治疗的效果。方法:回顾分析72例手术治疗胆总管结石致急性梗阻性黄疸患者的临床资料。结果:术后死亡3例。随访3~6年,效果优良者62例。3例胆总管T管引流术后3年复发肝胆管结石。结论:对该病的治疗术前应尽量做全面辅助检查,明确结石的部位及大小,胆管的形态及位置。根据病情确定手术时机和方式,对保证患者安全,减少术后并发症,提高治愈率有重要意义。
Objective: To investigate the effect of surgical treatment of acute obstructive jaundice caused by common bile duct stones. Methods: The clinical data of 72 patients with acute obstructive jaundice caused by choledocholithiasis were retrospectively analyzed. Results: 3 patients died after operation. Follow-up 3 to 6 years, 62 patients with excellent results. 3 cases of common bile duct T tube drainage after 3 years of recurrent hepatobiliary stones. Conclusion: The treatment of the disease should be done before the full auxiliary examination to clarify the location and size of stones, bile duct morphology and location. According to the condition to determine the timing and manner of surgery, to ensure patient safety, reduce postoperative complications, improve the cure rate is important.