| 胆内瘘31例诊治分析 |
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| 引用本文： | 周永平,戴途,陈波.胆内瘘31例诊治分析[J].中国临床医学,2011,18(5):648-649. |
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| 作者姓名： | 周永平 戴途 陈波 |
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| 作者单位： | 苏省无锡市第二人民医院,江苏无锡,214000 |
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| 摘 要： | 目的：总结胆内瘘的临床特征和诊治经验。方法：回顾分析31例自发性胆内瘘患者的临床资料。结果：术前经B超、CT、消化道造影、磁共振胰胆管造影（magnetic resnancect cholangiopancreatography，MRCP）等检查确诊胆内瘘8例，术前疑诊胆内瘘7例。术中证实胆囊十二指肠瘘23例，胆囊结肠瘘4例，胆囊胆总管瘘4例。除2例胆囊癌晚期外均切除胆囊后，行十二指肠瘘修补术18例，胆总管切开T管外引流＋胃空肠吻合术2例，结肠瘘修补术3例，横结肠癌根治术1例，胆总管修补＋T管引流术4例，另有3例行回肠切开取石。结论：胆内瘘患者常无特殊临床症状，结合B超、CT、消化道造影、MRCP等检查有助于术前诊断胆内瘘，治疗原则仍是切除病变胆囊和瘘管、修补瘘口、解除消化道梗阻。
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| 关 键 词： | 胆内瘘 诊断 治疗 |
Diagnosis and Treatment of Internal Gallbladder Fistula in 31 Cases |
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| ZHOU Yongping,DAI Tu,CHEN Bo.Diagnosis and Treatment of Internal Gallbladder Fistula in 31 Cases[J].Chinese Journal Of Clinical Medicine,2011,18(5):648-649. |
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| Authors: | ZHOU Yongping DAI Tu CHEN Bo |
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| Institution: | the Second People＇s Hospital of Wuxi , Jiangsu 214000, China |
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| Abstract: | Objective:To Summarize the clinical features of biliary fistula and treatment experience.Methods: Retrospective analysis of 31 cases of spontaneous internal gallbladder fistula in patients with clinical data.Results: Eight cases were confirmed by preoperative B ultrasound,CT,gastrointestinal imaging,magnetic resnanced cholangiopancreatography(MRCP) and other tests,suspected preoperative biliary fistula in 7 patients.Fistula surgery confirmed 23 cases of cholecystoduodenal fistula,cysticolic fistula in 4 cas... |
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| Keywords: | Biliary fistula Diagnosis Treatment |
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