基层医学论坛
基層醫學論罈
기층의학론단
The Medical Forum
2015年
33期
4609-4610
,共2页
胆囊结石%腹腔镜%胆囊结肠瘘%诊断%治疗
膽囊結石%腹腔鏡%膽囊結腸瘺%診斷%治療
담낭결석%복강경%담낭결장루%진단%치료
Gallstone%Laparoscopy%Cholecystocolonic fistula%Diagnosis%Treatment
目的：探讨胆囊结肠瘘的诊断与治疗方法。方法回顾分析1997年—2013年我院收治的2例胆囊结肠瘘患者的临床资料。结果胆囊结肠瘘约占胆石症患者的0.77‰，2例均在术中确诊，1例因处置不当于半年内死亡，另1例手术治疗获得成功，随访1年未见异常。结论胆囊结肠瘘是一种罕见的疾病，当患者既往有严重的急性胆囊炎病史而后出现胆囊萎缩或既往有急性胆囊炎病史或B超发现胆管积气，应考虑胆囊结肠瘘的可能。处理时应排除肿瘤的可能性，尽可能Ⅰ期切除胆囊及瘘管，必要时行结肠部分切除术。
目的：探討膽囊結腸瘺的診斷與治療方法。方法迴顧分析1997年—2013年我院收治的2例膽囊結腸瘺患者的臨床資料。結果膽囊結腸瘺約佔膽石癥患者的0.77‰，2例均在術中確診，1例因處置不噹于半年內死亡，另1例手術治療穫得成功，隨訪1年未見異常。結論膽囊結腸瘺是一種罕見的疾病，噹患者既往有嚴重的急性膽囊炎病史而後齣現膽囊萎縮或既往有急性膽囊炎病史或B超髮現膽管積氣，應攷慮膽囊結腸瘺的可能。處理時應排除腫瘤的可能性，儘可能Ⅰ期切除膽囊及瘺管，必要時行結腸部分切除術。
목적：탐토담낭결장루적진단여치료방법。방법회고분석1997년—2013년아원수치적2례담낭결장루환자적림상자료。결과담낭결장루약점담석증환자적0.77‰，2례균재술중학진，1례인처치불당우반년내사망，령1례수술치료획득성공，수방1년미견이상。결론담낭결장루시일충한견적질병，당환자기왕유엄중적급성담낭염병사이후출현담낭위축혹기왕유급성담낭염병사혹B초발현담관적기，응고필담낭결장루적가능。처리시응배제종류적가능성，진가능Ⅰ기절제담낭급루관，필요시행결장부분절제술。
ObjectiveTo investigate the diagnostic points and treatment methods of cholecystocolic fistula. Methods2 patients of cholecystocolic fistula treated in our hospital within recent 20 years were studied. The clinical, pathological and follow-up data were reviewed restrospectively.ResultsIt was found that the incidence of cholecystocolic fistula in cholelithiasis was 0.77‰,Both of them were diagnosed cholelithiasis preoperatively, cholecystocolic fistula were diagnosed introperatively. One patient died after operation. Another patient was cured. Conclusioncholecystocolonic fistula is a rare disease. It should be considered for the cholecystolithiasis combined with cholecystocolonic fistula when the case had the history of serious actue cholecystitis or was found atrophy of gallbladder or was found pneumobilia by ultrosonography B before operation or during operation,which can be treated correctly. The carcinoma of the colon or the gallbladder should be excluding.
