摘要
1978～1990年间收治胃切除后胆石病24例,胃切除5年以后形成胆系结石多,大多数属胆色素结石,胆囊结石多于肝外胆管结石。通常用 B 超检查及口服法胆囊造影肯定诊断。形成胆石的主要原因是胃切除操作时切断迷走神经肝支或术后胆囊周围粘连导致胆囊收缩功能低下。
During the period from 1987 to 1990,24 cases with gallstones after gastrectomy were received and treated.Most of gallstones were formed in more than 5 years after gastrectomy and were bile pig- mental stone.The gallstones fomed in gallbladder were more than in biliary ducts.The diagnosis of gallstones was confirmed by means of B mode ultrasonic detection and oral cholecystography.The main reason of the gallstones after gastrectomy is the hypo-contractibility of gailbladder caused by the cutting off the hepatic branch of the vagus nerve during the gastrectomy and the adhering in peri-gall- bladder after gastrectomy.
出处
《延边医学院学报》
CAS
1991年第2期119-121,共3页
Journal of Medical Science Yanbian University
关键词
胃切除
胆结石
超声
gastrectomy
gallstones
B mode ultrasonic detection
operational treatment
