论文部分内容阅读
目的 :分析胆石性肠梗阻的临床表现 ,探讨其诊断和治疗方法。方法 :对我院 1 980～ 2 0 0 0年收治的 1 8例胆石性肠梗阻患者资料作回顾性分析 ,其中 1 6例行肠壁切开取石术 ,同时行胆肠内瘘修补 5例、小肠部分切除 2例 ;2例以中药大承气汤治愈。结果 :本组 1 8例胆石性肠梗阻患者均治愈 ,无死亡。 1 2例随访 2～ 3年均无复发和出现胆系症状。结论 :胆石性肠梗阻以高龄女性好发、病程较长、常有中间腹痛缓解期的病史是其临床特点。术前诊断较困难 ,腹部平片、 B超有助于诊断 ,CT有较为特殊的表现 (Rigler三联征 )。解除结石梗阻是中西医结合治疗的主要目的。手术应以安全有效的肠壁切开取石术为主
Objective: To analyze the clinical manifestations of gallstone ileus and to discuss its diagnosis and treatment. Methods: The data of 18 cases of gallstone ileus admitted in our hospital from 1980 to 2000 were retrospectively analyzed. Among them, 16 cases underwent intestinal wall incision and lithotomy, and 5 cases were treated with biliary fistula , Partial resection of the small intestine in 2 cases; 2 cases of traditional Chinese medicine Dachengqi cure. Results: The group of 18 patients with gallstone ileus were cured, no death. 1 2 cases were followed up for 2 to 3 years without recurrence and gall bladder symptoms. Conclusions: Gallstone ileus is predominant in older women and has a longer course of disease. It is often the clinical feature that the history of remission of intermediate abdominal pain is common. Preoperative diagnosis is more difficult, abdominal plain film, B ultrasound help diagnosis, CT has a more special performance (Rigler triad). To relieve stone obstruction is the main purpose of Integrative Medicine. Surgery should be safe and effective intestinal wall lithotomy