论文部分内容阅读
国内胆囊切除手术后经T管造影证明的胆管残余结石率介于32.9％和76.6％之间。远比国外一般报告的10％高的多,其原因是我国原发性胆管结石发病率很高,为46.1—58.7％。更重要的是76.1％的原发性胆管结石属于色素结石,国外更高(90％),这是因为以肝内胆管结石为主的原故。如果按照美国人口每年施行50万例胆囊切除术来推算我国10亿人口中胆囊切除术和胆管残余结石(按50％计)的病人数字将极为惊人。众所周知,胆管梗阻所致的急性胆管炎和败血病
Domestic cholecystectomy by T-tube angiography proved residual bile duct stones between 32.9% and 76.6%. Far higher than the 10% of the foreign general reports, the reason is that the incidence of primary bile duct stones in our country is very high, 46.1-58.7%. More importantly, 76.1% of primary bile duct stones are pigmented stones, higher abroad (90%), which is due to intrahepatic bile duct stones. If according to the US population of 500000 cases of cholecystectomy per year to estimate China’s one billion population of cholecystectomy and residual bile duct stones (by 50%) the number of patients will be extremely alarming. As we all know, acute cholangitis and sepsis caused by biliary obstruction