目的：总结自发性胆囊内瘘的诊治经验。
Objective: To summarize the experience in the treatment and diagnosis of spontaneous internal gallbladder fistula.
目的总结结石引起的自发性胆囊内瘘的诊治经验。
Objective To summarize the experience in diagnosing and treating spontaneous internal gallbladder fistula (SIGF).
结论：萎缩性胆囊炎、胆囊结石应警惕合并胆囊内瘘。
Conclusion: Atrophic cholecystitis and cholelithiasis usually suggest internal gallbladder fistula.
对胆囊内瘘患者的临床表现及治疗方法亦进行了讨论。
The Clinical features and treatment of the discase are discussed.
术前仅9例考虑到胆囊内瘘的诊断，其余均在术中发现。
Only 9 patients were suspected of internal gallbladder fistula pre-operatively.
目的分析总结胆囊结石合并胆囊内瘘的临床特征和诊治经验。
Objective To explore a simple method that can reduce biliary fistula and stenosis of bile duct after operation.
结论对萎缩性胆囊炎或长期发作的胆囊炎，应考虑胆囊内瘘的可能。
Conclusion We should think of the SIGF existence in the patients who had the atrophic or long cholecystitis.
在PTGD组有1例发生胆瘘，1例穿刺管脱出胆囊，但PTGD组腹胀痛和肺损伤等并发症明显低于内镜治疗组（P<0．01）。
In PTGD group, bile leak occurred in 1 patient, and downfall of drainage occurred in 1 case. The complications of bellyache and lung injury was less in PTGD than these in endoscopics group (P<0.01).
在PTGD组有1例发生胆瘘，1例穿刺管脱出胆囊，但PTGD组腹胀痛和肺损伤等并发症明显低于内镜治疗组（P<0．01）。
In PTGD group, bile leak occurred in 1 patient, and downfall of drainage occurred in 1 case. The complications of bellyache and lung injury was less in PTGD than these in endoscopics group (P<0.01).
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