临床肝胆病杂志
臨床肝膽病雜誌
림상간담병잡지
CHINESE JOURNAL OF CLINICAL HEPATOLOGY
2014年
11期
1097-1098
,共2页
胆管,肝内%胆总管结石%消化系统外科手术%述评
膽管,肝內%膽總管結石%消化繫統外科手術%述評
담관,간내%담총관결석%소화계통외과수술%술평
bile ducts,intrahepatic%cholelithiasis%digestive system surgical procedures%editorial
肝内胆管结石系原发性胆管结石范畴，尽管其发病率有所下降，但因地区不同仍有差别。早期肝内胆管结石采用微创外科技术施行肝切除术治疗是正确选择，应保护Oddi括约肌的功能；但对复杂性肝内胆管结石所致的终末期肝病的外科治疗仍存在诸多问题。应提倡多学科合作医疗模式，进行综合性治疗，并加强肝内胆管结石预防、病因和发病机制等研究，为治疗肝内胆管结石努力探索。
肝內膽管結石繫原髮性膽管結石範疇，儘管其髮病率有所下降，但因地區不同仍有差彆。早期肝內膽管結石採用微創外科技術施行肝切除術治療是正確選擇，應保護Oddi括約肌的功能；但對複雜性肝內膽管結石所緻的終末期肝病的外科治療仍存在諸多問題。應提倡多學科閤作醫療模式，進行綜閤性治療，併加彊肝內膽管結石預防、病因和髮病機製等研究，為治療肝內膽管結石努力探索。
간내담관결석계원발성담관결석범주，진관기발병솔유소하강，단인지구불동잉유차별。조기간내담관결석채용미창외과기술시행간절제술치료시정학선택，응보호Oddi괄약기적공능；단대복잡성간내담관결석소치적종말기간병적외과치료잉존재제다문제。응제창다학과합작의료모식，진행종합성치료，병가강간내담관결석예방、병인화발병궤제등연구，위치료간내담관결석노력탐색。
The incidence of intrahepatic bile duct stones as primary cholelithiasis varies in different regions,though it decreases to some ex-tent.Minimally invasive hepatectomy is the correct procedure for treating early intrahepatic bile duct stones.However,there are still many problems concerning the surgical treatment of end-stage liver disease caused by complex intrahepatic bile duct stones.The multidisciplinary mode should be recommended to provide comprehensive treatment,and studies on the prevention,etiology,and pathogenesis of intrahepatic bile duct stones should be strengthened,so as to improve the treatment of intrahepatic bile duct stones.
