,,,,,40,,,,,,,,1(hepatolithiasis)(primaryintrahepaticstone),,,,,2:;(100853);(400038);E2mail:dongjh301@163.com,;;,,2.0%9.0%:(1)(2),;,(3)/,,(4),,223,,,6512007462ChinJDigSurg,April2007,Vol.6,No.23:(1):,,(2):(3):;,;,,,,,4:,4.1,,BCTMRIERCPPTC,,,,,,,BB,B,,BPTCB,CT,CT,CTB,CT,MRIMRCP,MRI,,CTMRICTB,ERCPPTCCTB,,,CTBERCP,PTC,,PTCERCPPTC,,,,BCTMRCP,7512007462ChinJDigSurg,April2007,Vol.6,No.2BCT/MRI;ERCP/PTC4.2,,,4.3521:I:,,II:,,,3:IIa:IIb:,IIc:,E:E:,Oddi,3:Ea:OddiEb:OddiEc:Oddi66.1,,,,,,,,,,6.24:(1);(2);(3);(4)6.2.1:,,,,B,,,,6.2.2:,IIb,;,:;;;;,,8512007462ChinJDigSurg,April2007,Vol.6,No.2,,,,,,,,,,,,,;,,,,6.2.3:3,(1)Roux2en2Y:,Roux2en2Y,Oddi,,(2):,,,,,,(3):,,,,,6.2.4:IIc6.3(1):,Oddi;,Oddi,(2)Oddi:OddiOddiOddi,,,(3)Oddi:,Roux2en2Y6.4B,(1)B:,,,,(2):9512007462ChinJDigSurg,April2007,Vol.6,No.2(3):,,,,,,(4):,6.5,T,,,,,,,6.6(1)(2),IIaIIb,IIbIIcIIc,(3),Roux2en2Y-,,,,(4),,0612007462ChinJDigSurg,April2007,Vol.6,No.277.1,,,,,7.2,BCTBCT,,CT,7.3,;,,,514d,BCT;,7.4,,CEACA1929,,7.5,,:(1),(2)(3):(1),(2),,,,,,,(3),:2006628(:2006211221)(:)2007462ChinJDigSurg,April2007,Vol.6,No.2