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Intrahepatic bile duct stone plateau causes and diagnosis
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Intrahepatic bile duct stone plateau causes and diagnosis
[Keywords:] plateau, intrahepatic bile duct stones, etiology, diagnosis
Intrahepatic bile duct stones more common in our country, the plateau region because of their special geographical environment, the incidence rate increased. In our hospital from January 2006 ~ December 2008 intrahepatic bile duct stones were found in 2 243 cases, these are as follows .
1 Clinical data
1.1 General Information 2 243 1 male patients, 278 patients (57%, female 965 cases (43%, age 16 to 86 years old, average 41.3 years old.
1.2 The clinical manifestations of atypical clinical manifestations, most of them show no symptoms or only mild abdominal discomfort, were found in the examination. Attack of colic pain and bloating than the performance-based, aversion to cold, fever or jaundice.
1.3 Diagnosis of clinical symptoms plus ultrasound or cholangiography, CT, etc. can be diagnosed.
2 Discussion
Intrahepatic bile duct stones are mostly primary, is a type of bile duct stones, is about more than the Ministry of hepatic duct confluence of the various branches of the bile duct stones. It can stand alone, but also with the coexistence of extrahepatic bile duct stones. Primary liver bile duct stones in a high incidence in China, according to domestic reports of 1 859 cases of cholelithiasis, primary bile duct stones about 50%, while about 30% of patients with coexisting hepatolithiasis [1]. intrahepatic bile duct stones cause more complicated, and intrahepatic infection, bile stasis, biliary ascariasis and other factors, may also be low-protein diet, low fat diet, high altitude hard water, causing a high incidence of intrahepatic bile duct stones. intrahepatic bile duct stones can be filled exists in the intrahepatic bile duct system may also occur in a particular lobe or segment of the bile ducts within the liver. generally to the left or the right hepatic lobe hepatic lobe after the
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