Sieg A, Metz W, Stiehl A, Raedsch R, Wysocki S, Kohlmeier M, Kommerell B
Dtsch Med Wochenschr. 1986 Nov 14;111(46):1760-2. doi: 10.1055/s-2008-1068706.
The composition of gallbladder and bile duct stones removed at the time of cholecystectomy was analysed in a consecutive series of 45 patients. The type of stones at the two sites was similar in all but two patients. Cholesterol content differed by more than 20% in only six patients. Cholesterol stones were found in the gallbladder of 33 patients, in the bile duct of 36 patients (73 and 80%, respectively); mixed stones in eight and five patients, respectively (18 and 11%); brown-pigment stones in three patients each (7%); black-pigment stones in one patient each (2%). Bile duct stones overlooked during cholecystectomy are thus suitable for litholysis, e.g. by irrigation with monooctanoin, in the majority of cases.
对连续45例胆囊切除术患者术中切除的胆囊和胆管结石成分进行了分析。除2例患者外，其余患者两个部位的结石类型相似。仅6例患者的胆固醇含量差异超过20%。33例患者的胆囊中发现胆固醇结石，36例患者的胆管中发现胆固醇结石（分别占73%和80%）；混合性结石分别见于8例和5例患者（分别占18%和11%）；棕色色素结石各见于3例患者（占7%）；黑色色素结石各见于1例患者（占2%）。因此，胆囊切除术中遗漏的胆管结石在大多数情况下适合进行溶石治疗，例如用单辛脂冲洗。
