摘 要 肝胆管结石病具有术后容易结石残留与复发的临床特点，导致众多患者迁延不愈，经历多次手术。基于诊治要点和治疗决策的临床分型有助于全面的手术要点评估和合理的手术方式选择，从而有助于提高肝胆管结石病诊治的规范化，减少结石残留与复发，提高整体疗效。本文着眼于结石分布、肝脏萎缩、胆管狭窄、Oddi括约肌功能和肝储备功能五大诊治要点，对现有的肝胆管结石病临床分型进行总结，以进一步提高肝胆管结石病诊治的规范化。

    关键词 肝内胆管结石；临床分型；胆管狭窄；Oddi括约肌功能

    中图分类号：R657.3 文献标志码：A 文章编号：1006-1533(2024)06-0003-03

    引用本文 王伟. 肝胆管结石病临床分型的研究进展[J]. 上海医药， 2024， 45(6)： 3-5； 9.

    Research progress of clinical classification of hepatolithiasis

    WANG Wei

    (Department of Hepatobiliary Pancreatic Surgery， Sixth Peoples Hospital Affiliated to Shanghai Jiao Tong University School of Medicine， Shanghai 200233， China)

    ABSTRACT Hepatolithiasis has the clinical characteristics of high rates of residual and recurrent stones after operation， so many patients are hard to recover and undergo multiple operations. The clinical classification based on the key points of diagnosis and treatment is helpful for comprehensive evaluation of surgical points and reasonable selection of surgical methods， which helps to improve the standardization of diagnosis and treatment of hepatolithiasis， reduce the residual and recurrent stones ......