Beglinger C
Abteilung für Gastroenterologie, Kantonsspital Basel.
Ther Umsch. 1998 Feb;55(2):116-9.
Passage of gallstones into the common bile duct occurs in 10-15% of patients with cholecystolithiasis. The incidence of common bile duct stones increases with age of the patient and can reach up to 50% in certain series. The diagnosis of choledocholithiasis is usually made by endoscopic retrograde cholangiography (ERC), either preoperatively or intraoperatively at the time of laparoscopic cholecystectomy. Endoscopic sphincterotomy followed by balloon or basket extraction is the method of choice for the management of patients with common duct stones.
胆结石进入胆总管的情况发生在10%至15%的胆囊结石患者中。胆总管结石的发病率随患者年龄增长而增加，在某些系列研究中可高达50%。胆总管结石的诊断通常通过内镜逆行胆管造影（ERC）进行，可在术前或腹腔镜胆囊切除术时术中进行。内镜下括约肌切开术，随后进行球囊或网篮取石，是治疗胆总管结石患者的首选方法。
