Bouveret综合征13例诊治分析  

Diagnosis and treatment of 13 cases of bouveret syndrome

作　　者：朱卫平[1] 李学庆[1] 程志俭[1] 

机构地区：[1]复旦大学附属上海市第五人民医院普外科,上海200240

出　　处：《中国当代医药》2010年第28期25-26,共2页China Modern Medicine

摘　　要：目的:探讨Bouveret综合征的诊断及治疗方法。方法:回顾性分析复旦大学附属上海市第五人民医院1990年1月～2009年12月收治的13例Bouveret综合征患者的临床资料。结果:13例患者均行手术治疗,切口感染3例,肺部感染1例,所有患者均痊愈出院,8例获随访无复发。结论:Bouveret综合征是胆石症极少见的并发症,其诊断主要靠病史及影像学检查,手术是目前最有效的治疗方法,应根据具体病情决定手术方式。Objective：To explore the diagnosis and therapeutic methods of bouveret syndrome.Methods：The clinical data of 13 patients with bouveret syndrome in our department from January 1990 to December 2009 were studied retrospectively.Results：All the cases were underwent surgical management.After operations, incision infection occurred in 3 cases, and pulmonary infection in 1 case, all patients were recovered.During the follow-up of 8 patients, no recurrence happened.Conclusion：Bouveret syndrome is a rare complication of cholelithiasis.Medical history and imaging is the key of the diagnosis.Surgical management is the best therapeutic method of bouveret syndrome, and surgical approaches should be selected according to patient＇s intricate conditions.

关 键 词：BOUVERET综合征 十二指肠梗阻 并发症 

分 类 号：R574.51[医药卫生—消化系统]