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结石性胆囊炎的个体化治疗
Individualized treatment of calculous cholecystitis
文章发布日期:2018年09月10日  来源:  作者:杜前程,周瀛,张灵强,等  点击次数:314次  下载次数:24次

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【摘要】:结石性胆囊炎为临床常见病、多发病,其治疗方法多样,以胆囊切除为主,腹腔镜胆囊切除术一直以来被认为是治疗结石性胆囊炎的“金标准”。然而,因年龄、病情状况、合并症、患者意愿等不同,也可选择药物治疗、经皮经肝胆囊穿刺引流术、保胆取石术等方法。简述了结石性胆囊炎患者的药物治疗、介入治疗、手术治疗的特点,认为可根据不同结石性胆囊炎患者的自身疾病特点选择最佳治疗方案,并提出了针对结石性胆囊炎的“个体化”治疗模式。
【Abstract】:Calculous cholecystitis is a common disease in clinical practice. There are various therapies for this disease, mainly cholecystectomy, and laparoscopic cholecystectomy has always been considered the gold standard for the treatment of calculous cholecystitis. However, medication, percutaneous transhepatic gallbladder drainage, and gallbladder-preserving cholecystolithotomy can be selected based on patient age, conditions, comorbidities, and preference. This article briefly describes the features of medication, interventional treatment, and surgical treatment in patients with calculous cholecystitis and points out that the optimal treatment regimen should be selected based on the features of calculous cholecystitis in each patient. This article also proposes the individualized treatment mode for calculous cholecystitis.
【关键字】:胆囊结石; 胆囊炎; 药物疗法; 超声检查, 介入性; 外科手术; 综述
【Key words】:cholecystolithiasis; cholecystitis; drug therapy; ultrasound interventional; surgical procedures, operative; review
【引证本文】:DU QC, ZHOU Y, ZHANG LQ, et al. Individualized treatment of calculous cholecystitis[J]. J Clin Hepatol, 2018, 34(10): 2251-2256. (in Chinese)
杜前程, 周瀛, 张灵强, 等. 结石性胆囊炎的个体化治疗[J]. 临床肝胆病杂志, 2018, 34(10): 2251-2256.

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