胆囊内瘘的诊治进展

叶楠; 刘长安

doi:10.3969/j.issn.1001-5256.2018.04.042

胆囊内瘘的诊治进展

DOI: 10.3969/j.issn.1001-5256.2018.04.042

叶楠,
刘长安

重庆医科大学附属第二医院肝胆外科

详细信息

中图分类号: R657.4
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出版历程
- 出版日期: 2018-04-20

Research advances in clinical diagnosis and treatment of gallbladder internal fistula

Ye Nan,
Liu ZhangAn

Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University

摘要

摘要: 胆囊内瘘是胆道系统少见的并发症之一,因其临床表现缺乏特异性,术前诊断率低。手术仍是胆囊内瘘的主要治疗方式,但术中易造成邻近脏器损伤,术后亦可能出现胆瘘、肠瘘等多种并发症。腹腔镜下手术具有创伤小、恢复快、疼痛轻等优点,已成为治疗胆囊内瘘的一种发展趋势。就胆囊内瘘的发病机制、临床表现、诊断及治疗方式的选择等方面进行综述。
- 胆瘘 /
- 诊断 /
- 治疗 /
- 综述
Abstract: Gallbladder internal fistula is a rare complication of the biliary system.A lack of specific clinical manifestations of gallbladder internal fistula results in a low preoperative diagnostic rate.Surgery remains the main treatment method for gallbladder internal fistula; however, it may cause injuries in adjacent organs and postoperative complications such as biliary fistula and intestinal fistula.Laparoscopic surgery has the advantages of little trauma, fast recovery, and mild pain and has become a new trend in the treatment of gallbladder internal fistula.This article reviews the pathogenesis, clinical manifestations, and diagnosis of gallbladder internal fistula, as well as the selection of treatment modalities.
- biliary fistula /
- diagnosis /
- therapy /
- review

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参考文献(36)

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