查詢結果分析
來源資料
相關文獻
- A Clinical Comparison of Intrahepatic Gallstones and Other Gallstones
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- 治膽八法與膽石症的中西醫結合治療
頁籤選單縮合
題名 | A Clinical Comparison of Intrahepatic Gallstones and Other Gallstones=肝內結石症與其它膽石症之臨床比較研究 |
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作者 | 柯成國; 沈柏青; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 19:4 1986.09[民75.09] |
頁次 | 頁335-342 |
分類號 | 416.246 |
關鍵詞 | 肝內結石症; 膽石症; |
語文 | 英文(English) |
中文摘要 | 本省之胆石手術病例數在近年來有增加之傾向,為了要了解本省之胆石分佈情形及其預後而研究本院自1974年來10年間經手術所見,術後胆道X光造影及術後胆道鏡檢查之資料證實胆石分佈,才供本文之研究對象共有739胆石症例,其中胆囊結石為143例(19.35%),總胆管結石235例(31.80%)及肝內結石症有361例(48.85%),肝內結石症又分成原發性肝內結石有108例(29.92%)及續發性肝內結石有253例(70.08%)。 以其發生之年齡分佈情形,在胆囊及總胆管結石之年齡主要發生在50歲年代,原發性肝內結石症在30歲年代及續發性肝內結石症者則在40歲年代了,其治療結果之死亡率而言,胆囊結石者為4.19%(6/143),而總胆管結石則高達14.04%(33/235),其兩者有明顯之差異(P<0.001),原發性肝內結石之死亡率則為4.63%(5/108),而續發性肝內結石則為8.70(22/253),兩者亦有統計學上之差異(P<0.05),其死亡原因主要為敗死症,肝衰竭及肝硬化等。 肝內結石症之發生率在本院仍然很高,在1974-1979年代為51.88%(166/320),而在1980-1983年代依然為46.55%(195/419),尚沒有明顯地減少,但胆囊結石之病例數似有增加的趨勢的。自1980年來肝內結石症及總胆管結石症之治療結果有明顯地改善,除了經驗增加之因素外,術後胆道鏡之摘石術使用也是重要因素之一,著者認為胆道鏡之普遍使用,則肝內結石及總胆管結石之治療成績將大為改善的。 |
英文摘要 | Data of seven hundred and thirty-nine patients with gallstones were collected, clinically, for the past 10 years. The age and sex distribution of gallbladder stones (n=143), common bile duct stones (n=235) and intrahepatic stones (n=361) were studied. The mean age for gallbladder stones and common bile duct stones was in the fifth decade. The primary intrahepatic stone was in the third decade, followed by a secondary one, in the fourth decade. The mortality for gallbladder and common bile duct stones was 4.19% and 14.04% respectively with a significant difference (p<0.001). The mortality for the primary and secondary intrahepatic stones was 4.63% (5/108) and 8.70% (22/253) respectively, with a significant difference (p<0.05). The most common causes of death are sepsis, hepatic failure and liver cirrhosis. The incidence of intrahepatic stones among gallstones is still high in Taiwan i.e. 51.88% (166/320) in the period of 1974-1979 and 46.55% (195/419) in the period of 1980-1983. Since 1980, the surgical results were improved in the patients with common bile duct stone or intrahepatic stones due to the successful removal of residual ductal stones by post-operative choledochoscope. |
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