慢性非结石性胆囊炎的诊疗体会  

THE DIAGNOSIS AND TREATMENT OF THE CHRONIC ACACULOUS CHOLECYSTITIS

作　　者：金小干[1] 

机构地区：[1]安徽医科大学第一附属医院普外科,合肥230022

出　　处：《肝胆外科杂志》2003年第3期209-210,共2页Journal of Hepatobiliary Surgery

摘　　要：目的　探讨慢性非结石性胆囊炎的诊治策略 ,提高诊治水平。方法　本文对 2 8例慢性非结石性胆囊炎进行了临床资料分析。结果　 2 8例均行单纯胆囊切除术。术后随访 1～ 2年 ,症状缓解率可达 96 .4 %。结论　我们认为 :有长期“胆石症”或“慢性胃炎”的症状 ,但 B超检查提示胆囊内无结石的患者 ,应该选择口服胆囊造影、纤维胃镜和胃肠钡餐等检查以明确诊断 ,同时排除胃、十二指肠等疾病。症状轻、年老体弱或伴有其它疾患者 ,应选择非手术治疗 ;症状发作较为严重、影响工作和生活 。Objective To evaluate the management of the chronic acaculous cholecystitis(CAC) for improving the outcome of the diagnosis and treatment of CAC. Methods The clinical data of the CAC in 28 case were analyzed. Result 28 patients underwent cholecystectomy and the diagnosis of the CAC was proved by pathology.Averaged 1 2 years of follow-up found symptom-relief in 96.4%. Conclusion The author thinks that the patients with symptoms of 'cholelithiasis'and'chronic gastrittis'were proved acaculous gallbladders by ultrasound should select oral cholecystography?fibrogastroscopy and uppergastrointestinal series to expect the gastroduedenal disease.The patients with the light symptomes?older and coexisting systemic problems had better select no operatic treatment.The patients with severe symptoms affecting their life and work who were treated by conservative management and the symptoms were not relived the symptoms have to be treated by cholecystectomy.

关 键 词：慢性胆囊炎 非结石 

分 类 号：R657.41[医药卫生—外科学]