胆石性肠梗阻的诊断和治疗

目的探讨胆石性肠梗阻的临床特点、诊断和治疗方法。方法回顾性分析7例胆石性肠梗阻的临床特点、影像学资料及治疗结果。结果经腹部拍片、B超及CT等影像学检查，本组7例中术前确诊5例。3例行一期胆囊切除加十二指肠内瘘修补和肠切开取石术；2例行肠切开取石，6个月后再行二期胆囊切除加十二指肠内瘘修补术；另2例均为胆囊切除并胆肠内引流术后致结石掉入空回肠，仅行单纯肠切开取石术。7例均经手术治愈。结论B超、CT及腹部X线检查有助于其早期诊断，一期解除肠梗阻，视患者情况可一期或二期解除胆道及胆肠内瘘的问题。

Diagnosis and Treatment of Gallstone Ileus

Objectve To investigate the diagnosis and treatment of gallstone ileus.Methods The clinical and image data of 7 cases with gallstone ileus were analyzed retrospectively.Results Five cases of 7 were diagnosed properly before operation,The diagnosis rate was 70%,7 cases were successfully cured.Conclusion Seasonable abodomina X-ray,and ultrasonography and CT taken on patients play an important role in early diagnosis of gallstone ileus.The key of treatment was the early diagnosis.The release of intestinal obstruction must be carried out in the first stage,and the problems of the biliary fistula were treated depending on the situation of the patients.The effect on the procedure is very safe and feasible,namely it should be carried by two stages in some cases.