南京医科大学学报（自然科学版）2026，Vol.46Issue(2)：256-261,6.DOI:10.7655/NYDXBNSN251004
胆囊十二指肠瘘伴胆石性肠梗阻19例诊治分析
Diagnosis and treatment analysis of 19 cases of cholecystoduodenal fistula with gallstone ileus
摘要
Abstract
Objective:To investigate the diagnosis,treatment,and prognosis of cholecystoduodenal fistula complicated with gallstone ileus.Methods:This study retrospectively analyzed clinical data from 19 patients with cholecystoduodenal fistula and gallstone ileus treated at the First Affiliated Hospital of Nanjing Medical University from October 2019 to October 2024.Results:Among the 19 patients,9 were male and 10 were female,with a median age of 76 years.All patients presented with abdominal distension and pain,with a history of cholelithiasis spanning several years.After imaging confirmation,individualized surgical approaches—including enterolithotomy,single-or two-stage cholecystectomy,and fistula repair—were performed based on stone characteristics and patient status.Postoperatively,two cases developed incision infections,while all others recovered and were discharged without mortality.Conclusion:Cholecystoduodenal fistula with gallstone ileus is relatively rare,manifests with complex presentations,often involves multiple complications,and carries high perioperative risks.Personalized treatment strategies should be tailored to individual patient conditions.关键词
胆囊十二指肠瘘/胆石性肠梗阻/诊断/个性化治疗Key words
cholecystoduodenal fistula/gallstone ileus/diagnosis/individualized treatment分类
医药卫生引用本文复制引用
李番,王一鸣,周浩明,饶建华,姚爱华,成峰,倪鸣,吕凌..胆囊十二指肠瘘伴胆石性肠梗阻19例诊治分析[J].南京医科大学学报（自然科学版）,2026,46(2):256-261,6.基金项目
中国医学科学院创新单元项目(2019-I2M-5-035) （2019-I2M-5-035）
