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胆结石的非手术治疗

The non-operative management of gallstones.

作者信息

Sali A, Iser J

出版信息

Aust N Z J Surg. 1978 Oct;48(5):484-8. doi: 10.1111/j.1445-2197.1978.tb00027.x.

DOI:10.1111/j.1445-2197.1978.tb00027.x
PMID:285693
Abstract

During the last decade the non-surgical management of gallbladder stones has become possible. Oral chenodeoxycholic acid (CDCA) and more recently, ursodeoxycholic acid (UDCA), have proved to be safe and effective. For the treatment of bile duct stones, various methods including flushing, chemical dissolution and mechanical procedures are now available. A combination of these techniques can be used in a logical sequence and should enable the successful treatment of most patients with bile ducts stones.

摘要

在过去十年中,胆囊结石的非手术治疗已成为可能。口服鹅去氧胆酸(CDCA),以及最近的熊去氧胆酸(UDCA),已被证明是安全有效的。对于胆管结石的治疗,现在有包括冲洗、化学溶解和机械操作在内的各种方法。这些技术可以按合理的顺序联合使用,并且应该能够成功治疗大多数胆管结石患者。

相似文献

1
The non-operative management of gallstones.胆结石的非手术治疗
Aust N Z J Surg. 1978 Oct;48(5):484-8. doi: 10.1111/j.1445-2197.1978.tb00027.x.
2
Gall stone dissolving agents.胆结石溶解剂。
Br Med J (Clin Res Ed). 1983 Mar 5;286(6367):778-80. doi: 10.1136/bmj.286.6367.778.
3
Efficacy of chenodeoxycholic acid and ursodeoxycholic acid for lowering cholesterol saturation index of gallbladder in patients with a sphincterotomy.鹅去氧胆酸和熊去氧胆酸对括约肌切开术后患者降低胆囊胆固醇饱和指数的疗效。
Gastroenterology. 1988 Dec;95(6):1595-600. doi: 10.1016/s0016-5085(88)80083-0.
4
Ursodeoxycholic acid for adjuvant therapy with extracorporeal shock wave lithotripsy of gallstones.
J Clin Gastroenterol. 1988;10 Suppl 2:S18-21.
5
Ursodeoxycholic acid vs. chenodeoxycholic acid as cholesterol gallstone-dissolving agents: a comparative randomized study.熊去氧胆酸与鹅去氧胆酸作为胆固醇结石溶解剂的比较:一项随机对照研究。
Hepatology. 1982 Nov-Dec;2(6):804-10. doi: 10.1002/hep.1840020611.
6
Medical dissolution of gallstones by oral bile acid therapy.
Am J Surg. 1989 Sep;158(3):198-204. doi: 10.1016/0002-9610(89)90252-3.
7
Gallstone dissolution treatment with a combination of chenodeoxycholic and ursodeoxycholic acids. Studies of safety, efficacy and effects on bile lithogenicity, bile acid pool, and serum lipids.
Dig Dis Sci. 1986 Oct;31(10):1032-40. doi: 10.1007/BF01300255.
8
Bile acid dissolution therapy of gallbladder stones.
Baillieres Clin Gastroenterol. 1992 Nov;6(4):689-95. doi: 10.1016/0950-3528(92)90047-i.
9
Effect of ursodeoxycholic acid and chenodeoxycholic acid on cholesterol and bile acid metabolism.熊去氧胆酸和鹅去氧胆酸对胆固醇及胆汁酸代谢的影响。
Gastroenterology. 1986 Oct;91(4):1007-18. doi: 10.1016/0016-5085(86)90708-0.
10
[Nucleation time and growth time in patients with cholesterol gallstone--factors affecting nucleation time and growth time and effect of UDCA and CDCA].胆固醇结石患者的成核时间与生长时间——影响成核时间和生长时间的因素以及熊去氧胆酸和鹅去氧胆酸的作用
Nihon Shokakibyo Gakkai Zasshi. 1989 May;86(5):1103-13.

引用本文的文献

1
Chenodeoxycholic acid: a review of its pharmacological properties and therapeutic use.鹅去氧胆酸:其药理特性与治疗用途综述
Drugs. 1981 Feb;21(2):90-119. doi: 10.2165/00003495-198121020-00002.