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[胆囊切除术:治疗胆微石症的一种选择技术]

[Cholecystectomy: a choice technique in biliary microlithiasis].

作者信息

Herrera Ballester A, Canelles Gamir P, Medina Chulia E, Soler Ros J J, Orti Ortin E, Ortega González F, Quiles Teodoro F

机构信息

Unidad de Endoscopia Digestiva, Hospital General Universitario de Valencia.

出版信息

An Med Interna. 1995 Mar;12(3):111-4.

PMID:7795116
Abstract

The purpose of our study is to show results obtained after a cholecystectomy on 25 patients in order to present a suggestive clinic of bile origin and a positive result for determination of microcrystals in the bile probe even in the case of negative radiologic diagnoses (echography, cholecystography). Out of 25 patients operated on the following results were obtained: microscopic cholelithiasis in 12, granular cholelithiasis in 3, acute cholecystitis in 2, cholesterolosis in 2 and without pathologic findings in 6 patients after an observation period of 24 months following the operation it was demonstrated that almost all the patients (96%) had no symptoms. On the other hand, the above mentioned results are compared to the findings obtained during an observation period of a group of 34 patients with positive probe results with the same clinic characteristics and not having been operated on refusing the operation suggested.

摘要

我们研究的目的是展示对25例患者进行胆囊切除术后所获得的结果,以便呈现胆汁源性的提示性临床症状,以及即使在放射学诊断(超声检查、胆囊造影)为阴性的情况下,胆汁样本中微晶测定结果仍为阳性的情况。在接受手术的25例患者中,获得了以下结果:12例为显微镜下胆石症,3例为颗粒状胆石症,2例为急性胆囊炎,2例为胆固醇沉着症,6例在术后24个月的观察期后未发现病理结果。结果显示,几乎所有患者(96%)都没有症状。另一方面,将上述结果与一组34例具有相同临床特征且胆汁样本检测结果呈阳性、未接受手术(拒绝建议的手术)的患者在观察期内所获得的结果进行比较。

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