Surgical significance of dilatation of the common bile duct--with special reference to choledocholithiasis.
Surgical significance of dilatation of the common bile duct--with special reference to choledocholithiasis.
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胆总管扩张的手术意义——特别是胆总管结石。
DOI：
10.1007/bf02468791
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发表时间：
1980
期刊：
影响因子：
--
通讯作者：
Kato,H
中科院分区：
文献类型：
--
作者：
Nagase,M;Hikasa,Y;Soloway,RD;Tanimura,H;Setoyama,M;Mukaihara,S;Kato,H
1975 ~ 1978年对3，119例胆结石初次手术患者的胆总管直径进行了测量。虽然胆总管扩张在单纯胆管胆红素结石患者中最为显著，但在单纯胆囊胆固醇结石患者中也观察到扩张。对84例健康人进行滴注造影，发现胆总管随年龄增长而扩张。回顾日本文献中报告的先天性胆总管囊肿患者，发现很少有胆结石。因此，胆总管扩张是结石的原因还是结果尚难确定，胆总管肠吻合术等所谓的引流术应严格掌握指征。
Diameter of the common bile duct was measured in 3,119 patients who underwent primary operation for gallstones, during the period from 1975 to 1978. Although dilatation of the common bile duct was most marked in patients with bilirubin stones in the bile duct alone, dilatation was also observed in patients with cholesterol stones in the gallbladder alone. Drip infusion cholangiograms of 84 healthy patients showed that the common bile duct dilated in parallel with aging. A review of patients with congenital choledochal cysts reported in the literature in Japan revealed that few had gallstones. Thus, it was difficult to determine whether common bile duct dilatation was the cause or result of gallstones, and it was suggested that the socalled drainage operation such as choledochoenterostomy should be done only under strict indications.