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80例胆石性胆管炎的分析研究

[Analytical study of 80 cases of lithiasic cholangitis].

作者信息

Ennabli K, Jemni M

出版信息

J Chir (Paris). 1984 Mar;121(3):187-94.

PMID:6725449
Abstract

A retrospective study of 80 cases of lithiasic cholangitis treated between 1970 and 1982 demonstrated that cholangitis represents 45 p. 100 of the clinical manifestations of stones in the main biliary tract and 6.5 p. 100 of biliary surgery. This complication mainly affects female patients (3 out of 4 cases) and charcot's triad is the form that is most frequently encountered (81.25 p. 100 of cases). External drainage of the main biliary tract by Kerr's drain was performed in 32,5 p. 100 of cases and internal bypass operations in the remainder (A.B.D. : 36,15 p. 100, sphincterotomy : 32,25 p. 100). Mortality has reached 11,25 p. 100, including over half of the cases by cholangitis of uremic origin.

摘要

一项对1970年至1982年间治疗的80例结石性胆管炎病例的回顾性研究表明,胆管炎占主胆道结石临床表现的45%,占胆道手术的6.5%。这种并发症主要影响女性患者(4例中有3例),夏科氏三联征是最常出现的形式(81.25%的病例)。32.5%的病例通过克尔引流管进行主胆道外引流,其余病例进行内旁路手术(胆总管十二指肠吻合术:36.15%,括约肌切开术:32.25%)。死亡率达到11.25%,其中一半以上病例死于尿毒症性胆管炎。

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