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熊去氧胆酸治疗胆囊胆固醇沉着症伴胆囊结石的疗效

[Efficacy of ursodeoxycholic acid in gallbladder cholesterosis accompanied by cholecystolithiasis].

作者信息

Il'chenko A A, Orlova Iu N

机构信息

Central Scientific Research Institute of Gastroenterology, Moscow.

出版信息

Eksp Klin Gastroenterol. 2003(1):46-50, 182.

PMID:12664784
Abstract

23 patients with gall-bladder cholesterosis associated with cholesterol gallstones were treated with ursodeoxycholic acid preparations. A regression of cholesterol polyps was recorded in 56.5% against the background of treatment, and complete or partial dissolution of gallstones was observed in 87%. The efficiency of dissolution of cholesterol polyps and stones in the gall-bladder went up along with the extension of the therapy terms, reaching its maximum by 7-9 months of treatment. The dissolution rates were higher for gallstones than for cholesterol polyps. The volume of bile being secreted increased, and the gall-bladder contractile function improved in the course of treatment.

摘要

23例患有胆囊胆固醇沉着症并伴有胆固醇结石的患者接受了熊去氧胆酸制剂治疗。治疗期间,56.5%的患者胆固醇息肉出现消退,87%的患者胆结石出现完全或部分溶解。随着治疗时间延长,胆囊内胆固醇息肉和结石的溶解效率提高,治疗7至9个月时达到最高。胆结石的溶解率高于胆固醇息肉。治疗过程中,胆汁分泌量增加,胆囊收缩功能改善。

相似文献

1
[Efficacy of ursodeoxycholic acid in gallbladder cholesterosis accompanied by cholecystolithiasis].熊去氧胆酸治疗胆囊胆固醇沉着症伴胆囊结石的疗效
Eksp Klin Gastroenterol. 2003(1):46-50, 182.
2
[Effect of ursodeoxycholic acid on the characteristics of lipid metabolism in cholelithiasis and gall-bladder cholesterosis].熊去氧胆酸对胆石症和胆囊胆固醇沉着症脂质代谢特征的影响
Eksp Klin Gastroenterol. 2007(5):29-34, 164.
3
Changes of bile acid and lipid composition in blood and bile in the clinical course after the initiation of cheno- and ursodeoxycholic acid therapy in patients with cholesterol gallstones.胆固醇结石患者开始使用鹅去氧胆酸和熊去氧胆酸治疗后临床过程中血液和胆汁中胆汁酸及脂质成分的变化
Tokai J Exp Clin Med. 1982 Nov;7(6):671-83.
4
[Ursodeoxycholic acid in the treatment of gallbladder lithiasis].[熊去氧胆酸治疗胆囊结石]
Acta Gastroenterol Latinoam. 1982;12(1):33-8.
5
[Efficiency of ursotherapy in cholesterol-associated pathology of the gallbladder].[熊去氧胆酸疗法在胆囊胆固醇相关病变中的疗效]
Eksp Klin Gastroenterol. 2009(8):96-101.
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[Cholelitholysis and gallbladder diverticula].[胆石溶解与胆囊憩室]
Rofo. 1984 Apr;140(4):397-407. doi: 10.1055/s-2008-1052996.
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The effects of ursodeoxycholic acid alone and ursodeoxycholic acid plus low-dose acetylsalicylic acid on radiolucent gallstones.单独使用熊去氧胆酸以及熊去氧胆酸加低剂量乙酰水杨酸对透X线胆结石的影响。
Turk J Gastroenterol. 2003 Jun;14(2):91-6.
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[Correlation between cholelithiasis and cholesterosis of the gallbladder].[胆结石与胆囊胆固醇沉着症之间的相关性]
Dtsch Z Verdau Stoffwechselkr. 1987;47(2):67-71.
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Gall-stone dissolution treatment using cholelitholytic bile acids: experience with 24 patients.使用溶石性胆汁酸进行胆结石溶解治疗:24例患者的经验
Neth J Med. 1989 Feb;34(1-2):3-9.
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Gallstone formation and dissolution.胆结石的形成与溶解
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