CAJ | 학술논문

肝内胆管结石是存于肝内胆管、位于肝管分叉以上的结石.肝内胆管的胆固醇结石比例越来越高,这类结石的发生与胆道感染或梗阻无关.这一情况提示:肝内胆管结石的形成不仅仅存在于胆道微环境的改变,其源头很可能在于肝细胞或胆管细胞代谢功能的改变.笔者从胆道流体力学角度对肝内胆管结石的形成机制进行综述.
간내담관결석시존우간내담관、위우간관분차이상적결석.간내담관적담고순결석비례월래월고,저류결석적발생여담도감염혹경조무관.저일정황제시:간내담관결석적형성불부부존재우담도미배경적개변,기원두흔가능재우간세포혹담관세포대사공능적개변.필자종담도류체역학각도대간내담관결석적형성궤제진행종술.
Intrahepatic bile duct stones located at the upper part of the hepatic duct.The percentage of intrahepatic biliary cholesterol calculus is increasing in recent years,and the incidence of this type of bile duct stones is free from infection or obstruction.The formation of intrahepatic bile duct stones might not only related to the micro-environment changes in the biliary tract,but also related to the changes of metabolic function of hepatocytes or cholangiocytes.In this article,the mechanism of biliary hydrodynamics on the formation of intrahepatic bile duct stones was reviewed.