ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG Ở BỆNH NHÂN BỊ SỎI TÚI MẬT KẾT HỢP SỎI ĐƯỜNG MẬT CHÍNH TẠI BỆNH VIỆN NHÂN DÂN 115

Abstract

Objectives: Clinical and subclinical features in patients with gallbladder stones combined with primary biliary stones. Subjects and methods: Retrospective study, describing a series of cases. A retrospective study of all patients with gallbladder stones combined with primary biliary stones who underwent laparoscopic cholecystectomy combined with endoscopic retrograde cholangiopancreatography (ERCP) in the same period of surgery from 6/2022 to 6/2024 at the Department of  General Surgery, 115 People’s Hospital. Results and conclusion: Across 122 cases of combined stones gallbladder stones and primary biliary stones, we found: Biliary gallstones are common in all ages and the average in our study was 60 ± 15, majority we metwere females at a rate of 59%. In terms of clinical symptoms, 25% of patients have all 3 classic symptoms of abdominal pain, fever, and jaundice. The sensitivity of detecting gallbladderstones on ultrasound is 95%. However, the sensitivity of ultrasound in detecting cholecystitis is 41%. The sensitivity of computed tomography in detecting cholecystitis is 79%. The percentage of treating physicians who correctly diagnosed preoperative stone cholecystitis in patients who had just had gallbladder stones with OMC stones was 82%.