摘要目的 提高肠胆石性梗阻的诊断水平和手术处理技能.方法 回顾性分析1992年1月～2007年12月间湖南省人民医院肝胆科收治的10例肠胆石性梗阻病例的临床资料.结果 10例均经手术治疗,5例桥襻结石梗阻中,4例均施桥襻切开取石,1例肠坏死施桥襻切除重建,5例回肠胆石梗阻,胆石位于距回盲瓣20～30 cm,均施肠切开取石.8例获平均4年2个月随访.效果良好率达100%.结论 肠胆石性梗阻临床少见,易于误诊,肝胆管结石是其发病的基础,只掌握其临床特征才能正确诊断和处理.

abstractsObjective To study the diagnosis and surgical treatment of intestinal obstruction resulting from gallstone.Methods A total of ten patients with intestinal obstruction resulting from gallstone admitted to Hunan Provincial People's Hospital from Jan.1992 to Dec.2007 were involved in this study for retrospectire analysis.Results All ten patients accepted operation.Among five intestinal loop stones obstruction cases,four accepted intestinal loop incision and stone cleanup,one accepted intestinal loop resection and reconstruction.Another five cases with ileum obstruction accepted ileum incision and stone cleanup.The gallstone localized in ileum,20 cm-30 cm away from ileocecal valves.Eight patients were followed up.The mean time of follow-up was four years and two months(range 0.25-15 years).Good resulting rate was 100%(8/8).Condusiom The cases of intestinal obstruction result from gallstone are rare and easy to be misdingnosed.Right diagnosis and treatment can be only based on mastering its clinical features.