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肝内胆管结石严重吗 段世刚 重庆市第九人民医院 大家知道肝内胆管结石,它的主要就是发生在肝脏以内的胆管,我们医学上把胆管分为一级胆管,二级胆管,三级胆管二级胆管以上,往往就是要肝内胆管,这部分胆管的结石的病人它的危害主要有以下几种:第一种就是可能造成局部的肝段的胆管的梗阻,造成胆管的阻塞,局部的干燥的萎缩,甚至可能出现局部的肿瘤的发生,还有一部分病人肝内胆管结石它发病的就是说结实不是很多,它就在很轻微的或者叫末端的胆管结石,这部分病人往往也不会出现,梗阻的表现不会出现临床表现,比如说腹痛,黄疸等这部分表现。所以肝内胆管结石,它可能就是它的严重程度,需要分型就是说肝内末端的它往往病人也不严重,不会出现严重的后果,如果出现肝段大的肝段胆管结石的梗阻病人也可能出现,梗阻性黄疸,出现肝脏的萎缩肝癌的发生。 Is hepatolithiasis serious You know, hepatolithiasis, It's mainly the bile ducts inside the liver, We medically divide the bile duct into primary bile ducts, Secondary bile duct, Third grade bile duct and above second grade bile duct, It's usually the intrahepatic bile duct, This part of patients with bile duct stones has the following main hazards: the first is that it may cause local obstruction of the bile duct in the liver segment, It causes obstruction of the bile duct, Local dry atrophy, There may even be local tumorigenesis, There are also some patients with intrahepatic cholelithiasis, which means that it is not very strong, It's in a very slight or terminal bile duct stone, These patients often do not appear, There is no clinical manifestation of obstruction, For example, abdominal pain, Jaundice and so on. So intrahepatic cholelithiasis, It could be just how serious it is, It needs to be classified, that is to say, it is often not serious in the end of the liver, There will be no serious consequences, If there is a large segment of the liver bile duct stone obstruction patients may also appear, Obstructive jaundice, The occurrence of atrophic liver cancer.