Jaffe P E
Section of Gastroenterology, University of Arizona College of Medicine, Tucson 85724.
Postgrad Med. 1993 Nov 1;94(6):45-52; 57.
Although surgery remains the ultimate treatment for symptomatic gallstone disease, the number of nonsurgical alternatives continues to grow. It is important to consider these options. The patient's age and overall health and the composition, number, and size of gallstones are major factors in determining whether alternative methods of therapy are appropriate. Many patients are eliminated from consideration when criteria for nonsurgical therapy are carefully followed. For example, oral dissolution therapy is relatively effective, but only about 20% to 25% of patients are candidates.
尽管手术仍然是有症状胆结石疾病的最终治疗方法，但非手术替代方案的数量仍在不断增加。考虑这些选择很重要。患者的年龄和整体健康状况以及胆结石的成分、数量和大小是决定替代治疗方法是否合适的主要因素。当严格遵循非手术治疗标准时，许多患者会被排除在考虑范围之外。例如，口服溶石疗法相对有效，但只有约20%至25%的患者适合。
