Norrby S, Heuman R, Sjödahl R
Ann Chir Gynaecol. 1985;74(1):9-12.
Two hundred and forty-three patients aged under 75 years with acute calculous cholecystitis treated by early surgery were studied with a view to investigating the frequency of choledocholithiasis and the predictive value of routine liver function tests (bilirubin, alkaline phosphatase, alanine aminotransferase). 7% had stones in the common duct, but 33% had hyperbilirubinaemia. In less than 10% of the latter could be hyperbilirubinaemia be attributed to common bile duct stones. It was concluded that the frequency of common bile duct stones in acute cholecystitis was low, and that patients often had signs of impaired liver function which was of no help in diagnosing the presence of stones in the common duct.
对243例75岁以下因早期手术治疗急性结石性胆囊炎的患者进行了研究，旨在调查胆总管结石的发生率以及常规肝功能检查（胆红素、碱性磷酸酶、丙氨酸转氨酶）的预测价值。7%的患者胆总管有结石，但33%的患者有高胆红素血症。在后者中，不到10%的高胆红素血症可归因于胆总管结石。得出的结论是，急性胆囊炎中胆总管结石的发生率较低，并且患者常有肝功能受损的迹象，这对诊断胆总管结石并无帮助。
