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胆石性肠梗阻17例诊治分析 被引量:7

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摘要 目的探讨胆石性肠梗阻的临床特点和诊治经验。方法回顾性分析17例胆石性肠梗阻患者的临床资料。术前均行腹部平片检查,5例患者行螺旋CT检查,所有患者均经手术治疗。结果术前腹部平片均显示肠梗阻表现,其中术前经CT明确诊断5例,14例行肠管切开取石,1例肠管切开取石同时行胆囊切除合并十二指肠瘘修补,1例因肠坏死行肠段切除,1例经肛门取石。17例患者均痊愈出院,术后并发切口感染2例,呼吸道感染2例,心功能衰竭1例。结论胆石性肠梗阻术前确诊困难,多排螺旋CT有助于早期明确诊断,肠管切开取石是安全有效的治疗方法。
出处 《肝胆胰外科杂志》 CAS 2005年第4期322-324,共3页 Journal of Hepatopancreatobiliary Surgery
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