Pitluk H C, Beal J M
Arch Surg. 1979 Aug;114(8):887-8. doi: 10.1001/archsurg.1979.01370320019003.
A retrospective review of the records of 1,507 patients with a diagnosis of cholecystitis was conducted for the five-year period, 1972 to 1977. Of this group of patients, a histopathologic diagnosis of acute cholecystitis was established in 154 patients (10.2%). Common duct calculi were detected in 17 of these 154 patients, an incidence of 11%. Preoperative evaluation by means of serum bilirubin and alkaline phosphatase levels and intravenous cholangiography was unsatisfactory for consistent demonstration of choledocholithiasis in the presence of acute cholecystitis. Intraoperative cholangiography was found to be the most reliable method for detection of common duct calculi and was successfully employed in 14 of 17 patients with choledocholithiasis. The remaining three patients had palpable stones.
对1972年至1977年这五年间诊断为胆囊炎的1507例患者的病历进行了回顾性研究。在这组患者中，154例（10.2%）被确立为急性胆囊炎的组织病理学诊断。这154例患者中有17例检测出胆总管结石，发生率为11%。在急性胆囊炎存在的情况下，通过血清胆红素和碱性磷酸酶水平以及静脉胆管造影进行术前评估，对于胆总管结石的一致性显示并不理想。术中胆管造影被发现是检测胆总管结石最可靠的方法，17例胆总管结石患者中有14例成功采用了该方法。其余3例患者可触及结石。
