Luan Jia, Wang Kuanyu
Department of Surgery II, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, 150006, People's Republic of China.
Int J Gen Med. 2025 Sep 16;18:5569-5580. doi: 10.2147/IJGM.S540729. eCollection 2025.
Acute cholecystitis is a common clinical condition with complex pathological mechanisms and significant clinical impact. This review focuses on integrated traditional Chinese and Western medicine approaches to its management. We first summarize theoretical foundations and recent findings in epidemiology and pathophysiology. Diagnostic strategies are then discussed, with emphasis on how modern imaging methods and traditional Chinese medicine diagnostic approaches complement each other to improve accuracy. Clinical practice is reviewed in terms of therapeutic efficacy, combined medication, and surgical options, underscoring the benefits of integrative treatment. Advances such as the development of new traditional Chinese medicine preparations and the adoption of minimally invasive techniques have introduced promising directions, although controversies and challenges remain. Finally, we highlight the need for further research to optimize integrative strategies, establish standardized treatment protocols, and improve patient outcomes. By synthesizing current evidence, this review aims to inform clinical decision-making and guide future research on integrative approaches to acute cholecystitis.
急性胆囊炎是一种常见的临床病症，其病理机制复杂，对临床有重大影响。本综述聚焦于中西医结合治疗急性胆囊炎的方法。我们首先总结其理论基础以及流行病学和病理生理学方面的最新研究结果。接着讨论诊断策略，重点是现代影像学方法与中医诊断方法如何相互补充以提高诊断准确性。从治疗效果、联合用药和手术选择等方面对临床实践进行综述，强调综合治疗的益处。新的中药制剂研发和微创技术应用等进展带来了有前景的方向，尽管仍存在争议和挑战。最后，我们强调需要进一步开展研究以优化综合治疗策略、建立标准化治疗方案并改善患者预后。通过综合现有证据，本综述旨在为临床决策提供参考，并指导未来急性胆囊炎综合治疗方法的研究。
