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病例报告:鹅去氧胆酸治疗卡洛里氏综合征患者的肝内透光性胆结石

Case report: chenodeoxycholic acid therapy of intrahepatic radiolucent gallstones in a patient with Caroli's syndrome.

作者信息

Kutz K, Miederer S E, Paumgartner G

出版信息

Acta Hepatogastroenterol (Stuttg). 1978 Oct;25(5):398-401.

PMID:726807
Abstract

A 28-year-old man with intrahepatic cystic dilatations of the biliary tree (Caroli's syndrome) which contained multiple radiolucent gallstones was treated with 1 g of chenodeoxycholic acid per day. He had undergone cholecystectomy 4 years and surgical exploration of the common bile duct with papillotomy 2 years prior to chenodeoxycholic acid therapy. While no decrease in the number of stones could be detected by retrograde cholangiography 2 years after papillotomy, most of the stones had disappeared after 2 years of treatment with chenodeoxycholic acid.

摘要

一名28岁男性患有肝内胆道囊性扩张(卡罗利综合征),囊内含有多个透光性胆结石,每天接受1克鹅去氧胆酸治疗。在接受鹅去氧胆酸治疗前4年,他接受了胆囊切除术,2年前接受了胆总管探查及乳头切开术。虽然乳头切开术后2年经逆行胆管造影未发现结石数量减少,但在接受鹅去氧胆酸治疗2年后,大多数结石已消失。

相似文献

1
Case report: chenodeoxycholic acid therapy of intrahepatic radiolucent gallstones in a patient with Caroli's syndrome.病例报告:鹅去氧胆酸治疗卡洛里氏综合征患者的肝内透光性胆结石
Acta Hepatogastroenterol (Stuttg). 1978 Oct;25(5):398-401.
2
Intrahepatic cystic bile duct dilatations and stone formation: a new case of Caroli's disease.
Acta Hepatogastroenterol (Stuttg). 1978 Feb;25(1):30-4.
3
Congenital cystic dilatation of the intrahepatic bile ducts (Caroli's disease): report of a case and review of the literature.先天性肝内胆管囊状扩张症(卡罗里病):1例报告并文献复习
Surgery. 1979 May;85(5):589-92.
4
[Proceedings: Treatment of hepato-choledocholithiasis with chenodeoxycholic acid in intrahepatic bile duct cysts (Caroli's disease)].[会议论文:鹅去氧胆酸治疗肝内胆管囊肿(卡罗里病)合并肝内胆管结石]
MMW Munch Med Wochenschr. 1975 May 16;117(20):839-40.
5
[New therapeutic possibilities in the diagnosis of congenital cystic bile duct dilatations (author's transl)].
Rofo. 1977 Mar;126(3):209-12. doi: 10.1055/s-0029-1230566.
6
[Treatment of intrahepatic cholesterol stones by chenodeoxycholic acid (author's transl)].鹅去氧胆酸治疗肝内胆固醇结石(作者译)
Dtsch Med Wochenschr. 1977 Apr 8;102(14):518-20. doi: 10.1055/s-0028-1104923.
7
Caroli's disease. description of a rare clinical case with monolobar localization.
Am J Gastroenterol. 1979 Jun;71(6):621-6.
8
Congenital cystic dilatation of the intrahepatic bile ducts (Caroli's disease).先天性肝内胆管囊状扩张症(卡罗里病)
Radiol Clin (Basel). 1978;47(3):182-9.
9
[A further case of congenital dilatation of intrahepatic bile ducts (Caroli's diseases)].
Sem Hop. 1968 Dec 20;44(53):3283-8.
10
[Caroli's disease: a clinical case].
Chir Ital. 1980 Oct;32(5):1259-64.

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.
2
Medical treatment of biliary duct stones: effect of ursodeoxycholic acid administration.胆管结石的医学治疗:熊去氧胆酸给药的效果
Gut. 1983 Jul;24(7):609-14. doi: 10.1136/gut.24.7.609.
3
Chemical treatment of stones in the biliary tree.胆管结石的化学治疗。
Br J Surg. 1986 Jul;73(7):515-24. doi: 10.1002/bjs.1800730703.