肝石

回顾性分析33例右肝残石的结石分布。

Retrospective analysis of distribution of hepatolithiasis was made in 33 cases with residual stones in the right liver .

重症胆管炎术后肝内胆管残石的治疗

The treatment of the residual hepatolithiasis after surgery of severe acute cholangitis

结论B超、T管造影和胆道镜任两种方法联合检查是诊断肝内胆管残石的可靠依据。

[ Conclusions ] Combined examination of any two among B ultrasonography , T-tube cholangiography and choledochoscopy was reliable to diagnose intrahepatic duct stones .

结果：中华沙棘果汁可降低动物模型的成石率，并可促进胆汁酸的合成与分泌，保护肝细胞免受致石食饵的损伤。

Results : Chinese hippophae juice could decrease the rate of stone formation , promote synthesis and secretion of bile acid and protect liver cell from damages of stone forming bait .

结果对于肝内胆管残石，B超和胆道镜检查诊断准确率明显高于T管造影（P<0.01），胆道镜的诊断准确率高于B超，但无统计学意义（P>0.05）。

[ Results ] For intrahepatic duct stones , the diagnosis rate of B ultrasonography and choledochoscopy was higher significantly than that of T-tube cholangiography ( P < 0.01 ) . No statistical differences was found between choledochoscopy and B ultrasonography ( P > 0.05 ) .

结论Ⅵ段肝管行程迂曲及汇入夹角小是肝内残石及复发结石的重要原因。

Conclusions Tortuous traveling route and small convergence angles of segment ⅵ hepatic duct are important causes of residual or recurrent hepatolithiasis .

方法术中超声将高频探头放置在肝表面，利用探针对肝内胆管结石准确定位，并在超声引导下经肝表面切开肝管取石。

Methods High-frequency probe of intraoperative ultrasound was put on the surface of the liver to determine the position of stones and under ultrasound guidance to surgically take out the lithes from intrahepatic bile ducts .