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本文介绍用2%复方猪胆汁酸钠经T管滴注治疗肝、胆管术后残留胆色素混合结石10例的疗效情况。其中9例肝外胆管结石经治疗后全部溶解消失;8例肝内胆管结石除1例结石消失外,5例结石体积变小和数目减少,2例无效。在治疗过程中,通过X线照片检查和淘洗大便,观察到结石从大变小、崩裂、排出的证据。肝内胆管结石效果较差与药液难以到达局部有关。本疗法虽疗程较长,且要对带T管的病人才能进行治疗,但无明显副反应,认为本疗法对残留胆色素混合结石提供了一个新的有效治疗手段。
This article describes the use of 2% compound porcine bile acid by T-tube infusion of liver and bile duct surgery residual bile pigment mixed stones in 10 cases. Among them, 9 cases of extrahepatic bile duct stones were completely dissolved and disappeared after treatment; in 8 cases of intrahepatic bile duct stones except one case of stone disappeared, the volume and number of the stones in 5 cases decreased and 2 cases were ineffective. In the course of treatment, evidence of radiographic examination and elucidation of bowel movements from large to small, cracked and excreted was observed. Intrahepatic bile duct stones less effective and difficult to reach the local solution. Although the long course of treatment of this therapy, and to patients with T-tube can be treated, but no obvious side effects, that the treatment of residual bile pigment mixed stones provides a new and effective treatment.