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- W3029852467 abstract "目的探讨肝内胆管结石术式选择原则.方法回顾性分析407例肝内胆管结石病人,根据结石分布类型和伴随的病理变化以解除梗阻、去除病灶、通畅引流为基本要求,采取术中胆道镜和术中B超相结合取石160例,无这两项辅助手段取石207例;肝切除去除病灶144例;胆管空肠Roux-en-Y吻合内引流92例;T管引流86例;肝切除+胆肠Roux-en-Y内引流62例;肝切除+T管引流82例.结果术中胆道镜+术中B超取石组残石率4.3%,无辅助手段取石组残石率40%.随访1～10年,肝切除+内引流和单纯内引流组优良率分别为93.5%和80.43%,肝切除+T管引流组和单纯T管引流组优良率分别为95%和82.56%,统计学上有显著性差异,肝切组无论是否作胆肠内引流,优良率均无显著性差异.结论肝内胆管结石手术应根据结石分布类型和伴随的病理变化以解除梗阻、去除病灶、通畅引流为基本要求,个体化地选择术式,术中应把时间和精力放在解除梗阻、去除病灶上,胆肠内引流只作为补助性治疗措施." @default.
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- W3029852467 date "2003-12-28" @default.
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- W3029852467 title "Selection of surgical treatments for hepatolithiasis:an analysis of 407 cases" @default.
- W3029852467 doi "https://doi.org/10.3760/cma.j.issn.1007-8118.2003.12.009" @default.
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