摘要
目的:探讨胆内瘘患者的诊断和治疗,为临床医师提供参考依据.方法:我院1990-12/2006-12共收治胆内瘘患者32例,回顾性分析患者临床资料.结果:胆内瘘术前诊断率仅为12.5%.患者中胆囊十二指肠瘘68.8%(22/32),胆囊胆总管瘘12.5%(4/32),胆囊肝总管瘘3.1%(1/32),胆囊横结肠瘘6.3%(2/32),胆囊胃瘘6.3%(2/32),胆总管十二指肠瘘3.1%(1/32).胆石性肠梗阻占胆内瘘的6.3%(2/32).本组行择期手术15例,急诊手术17例.平均住院时间16.2d,术后3例发生胆瘘漏,5例切口感染,2例死亡.结论:胆内瘘术前诊断率低,术中胆道造影有助于明确诊断.发生胆囊炎后及时手术是预防胆内瘘发生的关键.
AIM：To analyze the diagnosis and treatment of internal biliary fistula.METHODS：The clinical data of 32 internal biliary fistula patients treated at our hospital from December 1990 to December 2006 were retrospectively analyzed.RESULTS：The preoperative diagnosis rate ofinternal biliary fistula was only 12.5% （4/32）.Of all 32 patients with internal biliary fistula,68.8% （22/32） had cholecystoduodenal fistula,12.5% （4/32） had cholecystocholedochal fistula,3.1% （1/32） had cholecysto-hepatic duct fistula,6.3% （2/32） had gallstone ileus; 15 underwent selective operation, and 17 underwent emergency laparotomy. The mean hospital stay eratively, three patients was 16.2 days. Postopdeveloped bile leakage,five developed wound infection, and two died CONCLUSION： The preoperative diagnosis rate of internal biliary fistula is low. Intraoperative cholangiography is a reliable method for accurate diagnosis of internal biliary fistula. Fistula can be repaired directly or using a part of the gallbladder wall.
出处
《世界华人消化杂志》
CAS
北大核心
2009年第28期2948-2950,共3页
World Chinese Journal of Digestology
关键词
胆内瘘
诊断
治疗
Internal biliary fistula
Diagnosis
Therapy
