Wolpers C
Rofo. 1982 Oct;137(4):444-50. doi: 10.1055/s-2008-1056234.
Today patients with gallstones are treated surgically, by means of drugs, or by endoscopy. However, only cholesterol stones can be dissolved with bile acids. Besides the cholesterol stones in the gallbladder, insoluble pigment stones or insoluble stones with a high inorganic calcium content will be found. In every patient, the solubility of the gallbladder stones must be established by mineralogical analysis. Sonography is very helpful in detecting gallbladder stones, but it is impossible to perform a mineralogical analysis with this method. Plain radiography is likewise insufficient. The only way to obtain a relatively accurate selection of patients with soluble gallstones is the performance of roentgenography after cholecystography. Cholecystography for mineralogical analysis must always follow detection of gallstones by sonography.
如今，胆结石患者可通过手术、药物或内窥镜进行治疗。然而，只有胆固醇结石能够被胆汁酸溶解。除了胆囊中的胆固醇结石外，还会发现不溶性色素结石或无机钙含量高的不溶性结石。对于每位患者，必须通过矿物学分析来确定胆囊结石的溶解性。超声检查对检测胆囊结石非常有帮助，但无法用这种方法进行矿物学分析。普通X线摄影同样不够。获得相对准确的可溶性胆结石患者选择的唯一方法是在胆囊造影后进行X线摄影。用于矿物学分析的胆囊造影必须始终在通过超声检查发现胆结石之后进行。
