胆石性肠梗阻的诊断和治疗  

Diagnosis and treatment of gallstone ileus

作　　者：张军[1] 宋坤[1] 于江涛[1] 

机构地区：[1]安徽省阜阳市人民医院普外科,阜阳236000

出　　处：《临床医学》2014年第6期13-14,共2页Clinical Medicine

摘　　要：目的提高对胆石性肠梗阻的重视,尽早明确诊断和治疗方案。方法回顾性分析阜阳市人民医院2006年至2013年11例胆石性肠梗阻患者的临床特点及影像学资料。所有患者均有胆囊结石和胆囊炎病史,并经B超和临床证实,其中7例有胆囊炎反复发作病史,4例患者出现肛门停止排气排便伴反复恶心、呕吐等典型肠梗阻症状。结果所有患者均经手术治愈。结论间歇性肠梗阻是胆石性肠梗阻的典型特征,及时的影像学检查包括B超、CT检查和X线检查,有助于早期明确诊断,手术是治疗胆石性肠梗阻的唯一手段。Objective To improve the attention of gallstone ileus,and make early diagnosis and treatment. Methods From 2006 to 2013,the clinical characteristics and image data of 11 patients with gallstone ileus in our hospital were retrospectively an-alyzed. All patients had the history of cholelithiasis and cholecystitis history,and were confirmed by B ultrasound and clinics,in-cluding 7 cases with recurrent cholecystitis history,4 patients with anal stop exhaustion and defecation complicated with recurrent nausea,vomiting and other typical symptoms of ileus. Results All cases were cured by operation. Conclusion Intermittent in-testinal obstruction is the typical feature of gallstone ileus,timely image examinations including B ultrasound,CT and X-ray are helpful to the early diagnosis,and operation is the only treatment of gallstone ileus.

关 键 词：胆石性肠梗阻 胆囊结石 

分 类 号：R656.7[医药卫生—外科学] R657.4[医药卫生—临床医学]