胆囊良性疾病中应关注的问题  

Problems needing attention in gallbladder benign diseases

作　　者：卢绮萍 

机构地区：[1]解放军武汉总医院普通外科,430070

出　　处：《中华消化外科杂志》2017年第4期349-354,共6页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金（81170420）

摘　　要：胆囊结石这一常见、多发的良性疾病，已成为危害人类健康的重要公共卫生问题。笔者围绕近年来有关保胆、切胆的争议，通过国内外文献分析，提出要认真领会黄志强院士所提出的该病治疗原则．并从4个方面浅谈当前胆囊结石等胆囊良性疾病治疗策略中应注意的问题：（1）“保胆”重在保护胆囊，而不仅是保留胆囊。（2）胆囊结石等胆囊良陆疾病临床科研的培训、指导和实践需要进一步规范。（3）胆囊结石手术相对简单，预后相对复杂，其外科治疗的适应证选择甚为重要，应警惕过度治疗和治疗不足。（4）胆囊结石的流行病学调查和预防研究亟待加强。Gallstone is a common and multiple benign disease, that has become an important public health problem. Focusing on the recent dispute about cholelithotomy or choleeystectomy and analysis of recent literatures, the author put forward to grasp the treatment principles performed by academician Huang Zbiqiang and discuss the crucial problems of treatment strategy about benign gallbladder disease from the following four aspects ： （ 1 ） The key point of ＂Cholelithotomy＂ is to protect the gallbladder, not only to preserve the gallbladder. （2） The training, guidance and practice of clinical research on benign gall- bladder diseases such as gallstones need to be further standardized. （3）The operation of gallstones is relatively easy while the and patients＇ prognosis is relatively complex. The choice of surgical indications is very important, and both of over treatment and inadequate treatment should be emphasized. （4） The epide- miological investigation and prevention of gallstones need to be strengthened.

关 键 词：胆囊结石病 治疗 外科手术 保胆取石 

分 类 号：R657.4[医药卫生—外科学]