无症状胆囊结石187例长期随访  

Long time follow up of 187 case of asymptomatic gallstone

作　　者：马建华[1] 马建军 李华 

机构地区：[1]新疆医科大学第一附属医院干保科,新疆乌鲁木齐830054 [2]新疆维吾尔自治区中医院普外二科,新疆乌鲁木齐830000 [3]新疆维吾尔自治区塔城市塔城军分区医院,新疆塔城834700

出　　处：《中国医药导报》2011年第18期173-174,共2页China Medical Herald

摘　　要：目的:探讨无症状胆囊结石患者自然病情转归及手术必要性。方法:对B超确诊为无症状胆囊结石的患者187例进行为期6年的随访,观察胆囊炎、胰腺炎等的发生情况及治疗情况。结果:每年随访2次,151例(87.28%)无胆囊炎等并发症,2例预防性胆囊切除,149例非手术治疗,22例(12.71%)出现胆囊炎等并发症,其中行手术治疗的有5例。结论:重新评估无症状性胆囊结石的治疗策略,宜采取非手术治疗。Objective： To investigate the asymptomatic gallstone symptom and the timing for surgical treatment.Methods： 187 patients with asymptomatic gallstone diagnosed by B ultrasound were followed up for 6 years,to observe cholecystitis gallstone pancreatitis and surgical treatment.Results： The patients were followed up every 6 months,151 patients（87.28%） had no complication such as cholecystitis,2 patients were given preventive surgical treatment,149 patients had no surgical treatment,22 patients（12.71%） had cholecystitis,gallstone pancreatitis et al,5 patients were treated by surgery.Conclusion： The therapeutic strategy for asymptomatic gallstone should be re-evaluated.Patients should be given no surgical treatment.

关 键 词：无症状性胆囊结石 胆囊切除 外科手术 

分 类 号：R575.6[医药卫生—消化系统]