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胆石症:静观其变,还是介入治疗?

Gallstones: Watch and wait, or intervene?

机构信息

Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA.

Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.

出版信息

Cleve Clin J Med. 2018 Apr;85(4):323-331. doi: 10.3949/ccjm.85a.17035.

Abstract

Gallstones are common in the United States, affecting an estimated 1 in 7 adults. Fortunately, they are asymptomatic in up to 80% of cases, and current guidelines do not recommend cholecystectomy unless they cause symptoms. Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstones, acute cholecystitis, and gallstone pancreatitis.

摘要

在美国,胆结石很常见,估计每 7 个成年人中就有 1 个会受到影响。幸运的是,多达 80%的病例没有症状,目前的指南建议除非结石引起症状,否则不建议进行胆囊切除术。腹腔镜胆囊切除术是治疗有症状的胆结石、急性胆囊炎和胆石性胰腺炎的标准治疗方法。

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