摘要：目的：分析74例肝内1～3级胆管多发结石的盆式内引流方法、适应征及临床价值。方法：病例均行胆囊功除，胆总管、肝总管肝内1～3级胆管切开，解除狭窄环，取尽结石，胆管成型为盆状，与空肠Roux-en-y吻合。结果：所有病例皆解除狭窄，取尽结石，畅通胆汁，并可防止返流。结论：肝胆管盆式吻合术，不但能取尽肝内胆管结石，并能解除狭窄，又能通畅引流，还能避免结石的残留和复发，是目前能治疗肝胆结石并狭窄比较理想的术式，值得推广。

    关键词：肝胆管盆式引流；胆肠吻合术；肝内胆管结石

    Evaluation the Treatment of 74 Cases Intracholdocholithiasis with Hepatobiliary- basin Drainage

    XIE Chu-ping,CHEN Yu-hui,WU Ze-jian

    (Department of Surgery, Dongguan People's Hospital,Guangdong Dongguan 523018, China)

    Abstract： Objective： To analyze methods indications and clinical value of hepatobiliary-basin drainage in treatment of 74 cases intracholedocholithiasis. Method： All patients underwent open cholecystectomy .Common bile duct was exposed and excided after cholecystectomy was completed ,The stones were extracted from common bile duct .Stenosis of common duct was removed and was unobstructed,No stenosis existed in intrahepatic duct and preformed roux-en-y anastomosis. Results： All patients removed stenosis of bile duct , The stones were extracted from common bile duct, Common bile duct was unobstructed.Conclusion： Hepatobiliary-basin drainage can extract the stone and remove stenosis. It is one of the safe and effective management options for common bile duct calculi and stenosis of bile duct.We advocated it in appropriate cases ......