| 袁韶霖,苏秋玲,刘江,等.胆石性肠梗阻 1例诊治分析[J].安徽医药,2026,30(9):1805-1810. |
| 胆石性肠梗阻 1例诊治分析 |
| Analysis of diagnosis and treatment of 1 case of gallstone ileus |
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| DOI：10.3969/j.issn.1009-6469.2026.09.020 |
| 中文关键词: 胆石性肠梗阻 胆囊消化道瘘 胆结石 机械性肠梗阻 Rigler三联征 |
| 英文关键词: Gallstone ileus Cholecystoenteric fistula Gallstones Mechanical intestinal obstruction Rigler's triad |
| 基金项目:江苏省医学重点学科 /实验室建设项目( ZDXK202251) |
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| 中文摘要: |
| 目的探讨胆石性肠梗阻的临床特征、治疗方案，以提高对该病的早期确诊与治疗。方法对 2023年 9月江苏省中医院收治的 1例胆石性肠梗阻病人临床表现及诊治过程进行回顾性分析。结果女， 66岁，全腹胀痛伴肛门停止排气、排便 5d。该病人保守治疗无效后，复查见嵌顿的胆结石从空肠迁移至回肠，最终成功实施腹腔镜辅助下小肠切开取石术后好转出院，术后随访 2年无并发症及复发。结论胆石性肠梗阻是由异位胆结石嵌顿于肠腔内引起的机械性肠梗阻，单纯实施肠切开取石术是胆石性肠梗阻的有效治疗方案，但应注重术前评估、术后预防与随访。 |
| 英文摘要: |
| Objective To investigate the clinical features and treatment of gallstone ileus, aiming to improve early diagnosis and man. agement of the disease.Methods A retrospective analysis was conducted on the clinical manifestations, diagnosis, and treatment pro.cess of a patient with gallstone ileus admitted to Jiangsu Provincial Hospital of Chinese Medicine in September 2023, and the relevantliterature was reviewed.Results A 66-year-old woman presented with generalized abdominal distension and pain, accompanied by a 5-day history of inability to pass flatus or stool. After ineffective conservative treatment, follow-up examination revealed that the impactedgallstone had migrated from the jejunum to the ileum. The patient underwent successful laparoscopic-assisted enterotomy and lithotomyand was discharged in improved condition. No complications or recurrence were observed during the 2-year postoperative follow-up. Conclusions Gallstone ileus is a mechanical intestinal obstruction caused by an impacted ectopic gallstone in the intestinal lumen.Enterolithotomy alone is an effective treatment, although attention should be paid to preoperative assessment, postoperative prevention,and follow-up. |
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