胆囊内瘘的诊治进展  

Research advances in clinical diagnosis and treatment of gallbladder internal fistula

作　　者：叶楠[1] 刘长安[1] YE Nan;LIU Chang＇an(Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China)

机构地区：[1]重庆医科大学附属第二医院肝胆外科,重庆400010

出　　处：《临床肝胆病杂志》2018年第4期892-895,共4页Journal of Clinical Hepatology

摘　　要：胆囊内瘘是胆道系统少见的并发症之一,因其临床表现缺乏特异性,术前诊断率低。手术仍是胆囊内瘘的主要治疗方式,但术中易造成邻近脏器损伤,术后亦可能出现胆瘘、肠瘘等多种并发症。腹腔镜下手术具有创伤小、恢复快、疼痛轻等优点,已成为治疗胆囊内瘘的一种发展趋势。就胆囊内瘘的发病机制、临床表现、诊断及治疗方式的选择等方面进行综述。Gallbladder internal fistula is a rare complication of the biliary system.A lack of specific clinical manifestations of gallbladder internal fistula results in a low preoperative diagnostic rate.Surgery remains the main treatment method for gallbladder internal fistula; however,it may cause injuries in adjacent organs and postoperative complications such as biliary fistula and intestinal fistula.Laparoscopic surgery has the advantages of little trauma,fast recovery,and mild pain and has become a new trend in the treatment of gallbladder internal fistula.This article reviews the pathogenesis,clinical manifestations,and diagnosis of gallbladder internal fistula,as well as the selection of treatment modalities.

关 键 词：胆瘘 诊断 治疗 综述 

分 类 号：R657.4[医药卫生—外科学]