摘要
目的:探讨胆囊十二指肠瘘致胆石性肠梗阻的诊断和治疗方法。方法:对我院2002年1月至2009年10月间收治的13例胆囊十二指肠瘘致胆石性肠梗阻的临床资料作回顾性分析。结果:本组胆囊十二指肠瘘致胆石性肠梗阻术前确诊11例,手术时确诊2例。除1例保守治疗成功外,余12例均行手术治疗。行小肠切开取石加胆囊切除、瘘口修补术7例,胆囊切除、瘘口修补胆总管探查T管引流1例,单纯行小肠切开取石4例,手术12例中除1例死亡外余均康复出院。结论:胆囊十二指肠瘘致胆石性肠梗阻术前通过CT、B超及腹部X线可以确诊。胆囊十二指肠瘘致胆石性肠梗阻治疗应遵循个体化原则,不强求一期手术。
Objective： To investigate diagnosis and treatment of the gallstone ileus resulted from gallbladder duodenal fistula.Method： From January 2002 to October 2009,clinical data about 13 patients who were treated gallstone ileus resulted from gallbladder duodenal fistula were analyzed retrospectively.Result： Gallstone ileus resulted from gallbladder duodenal fistula diagnosed preoperatively in 11 cases,surgery confirmed two cases.Apart from one case of conservative treatment,the remaining 12 cases were treated surgically.Small intestine cut stone plus cholecystectomy,fistula repair in 7 cases,cholecystectomy,fistula repair common bile duct T-tube drainage in 1 case,a simple stone cut in small intestine in 4 cases,12 cases of surgery in addition to one case of death were discharged.Conclusion： The gallstone ileus resulted from gallbladder duodenal fistula can be confirmed by preoperative CT,B ultrasound and abdominal X ray.The treatment of gallstone ileus resulted from gallbladder duodenal fistula should follow the principle of individuation,not force an operation.
出处
《河北医学》
CAS
2010年第10期1203-1205,共3页
Hebei Medicine
