胆石性肠梗阻的诊断与治疗  

Diagnosis and treatment of gallstone ileus

作　　者：石悦洪[1] 刘永康[1] 黄飞[1] 宋宗涛[1] 冉崇福[1] 陈理国[1] 

机构地区：[1]解放军452医院普通外科,成都610021

出　　处：《西南国防医药》2012年第12期1302-1303,共2页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨胆石性肠梗阻的诊断与治疗。方法回顾性分析6例胆石性肠梗阻患者的临床资料。结合病史、临床症状与腹部B超、X片、CT等多种影像学检查,6例患者全部术前明确诊断。结果 6例患者全部采取手术行肠切开取石,均痊愈出院。结论结合胆结石病史和肠梗阻症状,再辅以影像学检查,特别是CT检查可确诊胆石性肠梗阻。积极行肠切开取石术是解除梗阻最安全、有效的方法。Objective To discuss the diagnosis and treatment of gallstone ileus.Methods A retrospective analysis was made in the clinical data of 6 patients with gallstone ileus.All the patients were diagnosed by the medical history combined with clinical symptoms and imaging examinations such as abdominal ultrasound,X ray,and CT examinations,etc.Results All the 6 cases received the opening intestinal lithotomy and were all recovered without any complications.Conclusion Gallstone ileus can be definitely diagnosed by comprehensive analysis of the medical history,the clinical symptoms,and imaging examinations especially the computer tomography.Intestinal lithotomy is the safest and most effective way to relieve the obstruction.

关 键 词：肠梗阻 胆石症 诊断 治疗 

分 类 号：R574.2[医药卫生—消化系统]