摘要
本文报告溃疡病伴胆石病21例,其临床特点为:病史长、并发症多、临床症状不典型,易漏(误)诊。诊断本病的主要方法是胃镜(胃透)和B 超,而手术中常规探查胃十二指肠和胆道是避免漏诊的根本手段。对有同时解决溃疡病和胆石病条件者,主张同时手术。
The 21 cases of peptic ulcer withcholelithiasis reported in this paperall have a long medical history andmany complications.Besides,clinicalsymptoms being not evident,they areprone to negligence or misdiagnosis.The author thinks that gastroscopicexamination,gastric fluoroscopy andB-mode ultrasonic examination aremain methods to be used in the diagnosisof such cases;and the routine exami-nation in operation of gastrodudenumor biliary tract is the basic means ofavoiding the negligence in diagnosis.For cases with certain proper condi-tions,it is proposed that operations bemade at the same time for both pep-tic ulcer and cholelithiasis.
