Wolpers C, Wosiewitz U
Leber Magen Darm. 1985 Mar;15(2):64-70.
Dissolution of cholesterol stones in the gallbladder can give rise to insoluble sediment and pigment stones. Thus can lead to a change of the type of gallstones. We have observed such a development during a period of 4 years in 23.5% of a group of 51 patients, whose cholesterol stones originally had been dissolved. Formation of pigment stones can be prevented, if calcium sediments with a grain size below 3 mm are removed early and forcefully enough out of the gallbladder. The voiding function of the gallbladder must be intact for such treatment, and this has to be tested before appropriate drug therapy is choosen.
胆囊内胆固醇结石的溶解可产生不溶性沉淀物和色素结石。这会导致胆结石类型的改变。我们在51例最初胆固醇结石已溶解的患者组中，经过4年观察发现，23.5%的患者出现了这种情况。如果能尽早且足够有力地将粒径小于3毫米的钙沉淀物从胆囊中排出，就可以预防色素结石的形成。进行这种治疗时，胆囊的排空功能必须完好，在选择合适的药物治疗之前必须对此进行检测。
