摘要
目的探讨胆囊十二指肠瘘致胆石性肠梗阻的诊治和处理方式。方法对2例胆囊十二指肠瘘致胆石性肠梗阻病例的临床资料进行回顾性研究,并复习相关文献。结果2例病例均无并发症及死亡发生,1例经保守治疗后自行排石体外后病情好转;1例经保守治疗后症状未缓解,后立即行开腹探查术+胆囊切除术+小肠切开取石术+胆囊十二指肠瘘修补术,术后恢复良好。结论临床上应做到早期干预、及时诊断、个体化治疗、持续随访,以降低胆石性肠梗阻的发生率及病死率。
Objective To explore the diagnosis and treatment of gallstone intestinal obstruction caused by cholecystoduodenal fistula.Methods The clinical data of 2 patients with gallstone intestinal obstruction caused by cholecystoduodenal fistula were analyzed retrospectively,and the related literature was reviewed.Results There were no complications or deaths in 2 cases,Case 1 improved after excreting stones from the body after conservative treatment,and Case 2 had no remission after conservative treatment.For Case 2,laparotomy exploration+cholecystectomy+small bowel lithotomy+cholecystoduodenal fistula repair were performed immediately,and the postoperative recovery was good.Conclusion Early intervention,timely diagnosis,individualized treatment,and continuous follow-up should be achieved to reduce the incidence and mortality of gallstone intestinal obstruction.
作者
游美慧
张家乐
段晓宇
YOU Meihui;ZHANG Jiale;DUAN Xiaoyu(School of Medicine,Jianghan University,Wuhan 430056,Hubei,China;Department of General Medicine,The Central Hospital of Wuhan,Wuhan 430014,Hubei,China)
出处
《江汉大学学报（自然科学版）》
2023年第6期47-53,共7页
Journal of Jianghan University：Natural Science Edition
关键词
胆囊
十二指肠
肠瘘
胆石性肠梗阻
gallbladder
duodenum
intestinal fistula
gallstone intestinal obstruction
