advances in diagnosis and treatment of bile duct stones（胆管结石的诊断和治疗的进步）.docVIP

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advances in diagnosis and treatment of bile duct stones（胆管结石的诊断和治疗的进步）.doc

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advances in diagnosis and treatment of bile duct stones（胆管结石的诊断和治疗的进步）

Advances in diagnosis and treatment of bile duct stones [Keywords:] the diagnosis and treatment of bile duct stones Bile duct stones is common in our country, but also the problem of the treatment of biliary surgical field, the disease control rate of about 95.3%, traditional surgical treatment for the hepatobiliary special physiological characteristics, to bring certain restrictive surgery and blindness, intraoperative after residual stone rate of about 30%, resulting in recurrence after surgery, increased incidence of reoperation bring patients greater spiritual and economic burden [1], with the depth of understanding of the disease, the imaging diagnosis the development of technology, advances in surgical techniques, and equipment conditions improve, new tools, the application of new technologies, the treatment effect has been significantly improved, the residual stone rate, relapse rate and reoperation rate dropped paper hepatolithiasis diagnosis and treatment progress are summarized below. A diagnosis 1.1 Clinical manifestations Intrahepatic bile duct stones, depending on the course and pathology, clinical manifestations are many, from the early no obvious clinical symptoms confined to the intrahepatic bile ducts within a certain period of hepatic duct stones, to the late throughout the extrahepatic bile duct system even concurrent advanced cases of biliary cirrhosis, liver atrophy, liver abscess, the clinical manifestations are very complex. intermittent period in the course of the disease may be asymptomatic, or showed only for epigastric mild discomfort in the acute phase, can be acute purulent symptoms of cholangitis, or different degrees of Charcot triad, most likely caused by the combined extrahepatic bile duct stones. clinical manifestations of acute cholangitis, including the triple disease of the biliary obstruction: pain, chills, fever, jaundice, severe bile duct inflammation five Fallot no merger extrahepatic bile duct stone patients,