继发性胆总管结石的临床及内镜逆行胰胆管造影表现特点

[目的]探讨继发性胆总管结石的临床特点和内镜逆行胰胆管造影(ERCP)表现.[方法]回顾经ERCP检查确诊的58例胆囊结石切除术后继发胆总管结石患者的相关资料,观察其临床特点及ERCP表现,并与原发组作对比分析.[结果]继发性胆总管结石的发病年龄大,误诊时间长,临床表现主要为腹痛、消化不良.ERCP表现以多发结石、大结石常见.[结论]胆囊结石切除术后胆总管结石仍有较高的发生率.ERCP检查是诊断胆总管结石的安全有效方法.

ERCP features and clinical analysis of relapsed choledocholithiasis

[Objective] To study ERCP characteristics and the clinical features of relapsed choledocholithiasis. [Methods] The correlative data of 58 cases of ERCP performed relapsed choledocholithiasis after cholecystectomy were retrospectively analyzed. The ERCP characteristics and clinical features of this group of patients were analyzed and compared with the group of primary choledocholithiasis. [Results] The incidence of the relapsed choledocholithiasis increased with age, and the patients were misdiagnosed for a long time. The main symptoms were abdominal pain and indigestion. Multiple stones and large stones were more common in the relapsed choledocholithiasis group than those in the other group under ERCP. [Conclusion]After the cholecystectomy, there is still a high incidence of the relapsed choledocholithiasis. ERCP is a safe and effective diagnostic method for the diagnosis relapsed choledocholithiosis.