Rosseland A R, Glomsaker T B
Central Hospital of Akershus, Department of Surgical Gastroenterology, Nordbyhagen, Norway.
Eur J Gastroenterol Hepatol. 2000 Nov;12(11):1171-3. doi: 10.1097/00042737-200012110-00001.
Patients with asymptomatic bile duct stones exhibit typical signs, such as elevated liver function tests, dilated bile ducts on ultrasound, a history of jaundice, or pancreatitis. The incidence of asymptomatic bile duct stones is about 10%, but up to 2% of patients show no signs of the disease. Bile duct stones can be diagnosed by using clinical judgement, scoring systems, or discriminant function tests. Which diagnostic modality is most reliable, cost-effective and safe, varies with different hospitals. Which therapy is most effective, safe and the cheapest also varies with different departments, but in the future an increasing number of departments will use the one-stage laparoscopic approach.
无症状胆管结石患者表现出典型症状，如肝功能检查指标升高、超声显示胆管扩张、有黄疸病史或胰腺炎病史。无症状胆管结石的发病率约为10%，但高达2%的患者无该病迹象。胆管结石可通过临床判断、评分系统或判别功能测试来诊断。哪种诊断方式最可靠、最具成本效益且最安全，因医院而异。哪种治疗方法最有效、最安全且最便宜也因科室而异，但未来越来越多的科室将采用一期腹腔镜手术方法。
