胆结石怎么Treatment最好
Dec 16, 2023
Source: Cainiu Health
Dr. Yang Ziqi
Introduction
一般情况下，没有胆结石怎么Treatment最好的说法。胆结石Patient可以在Doctor指导下通过服用Medicine、腹腔镜微创保胆取石术、腹腔镜胆囊切除术、体外冲击波碎石术、内窥镜下取石术等方式Treatment。RecommendationPatient先到医院就诊，然后根据情况进行Treatment。
Generally speaking, there is no single best treatment for gallstones. Patients with gallstones can undergo treatment under a doctor's guidance through various methods such as medication, laparoscopic minimally invasive gallstone removal (gallbladder-preserving surgery), laparoscopic cholecystectomy, extracorporeal shock wave lithotripsy, and endoscopic stone removal. It is recommended that patients first visit a hospital for evaluation and then receive treatment based on their specific condition. Detailed analysis is as follows:
1. Medication
For small gallstones, patients may follow medical advice to use medications such as chenodeoxycholic acid capsules, ursodeoxycholic acid tablets, or dehydrocholic acid tablets. These drugs reduce cholesterol secretion in bile, making the bile undersaturated. Unsaturated bile helps dissolve cholesterol molecules from the surface of gallstones, gradually reducing their size until they completely dissolve.
2. Laparoscopic Minimally Invasive Gallbladder-Preserving Stone Removal Surgery
This is a novel minimally invasive procedure that uses advanced equipment to remove gallstones under direct visualization with a fiberoptic choledochoscope or rigid choledochoscope. It preserves both the gallbladder and its function while thoroughly removing stones. The procedure involves minimal trauma, low risks of incision infection and incisional hernia, rapid recovery, discharge within 3–5 days after surgery, and relatively low overall treatment costs.
3. Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy is considered the "gold standard" for treating gallbladder stones. This method also features minimal invasiveness, low rates of incision infection and hernia, fast recovery, hospital discharge within 3–5 days post-surgery, and low comprehensive treatment costs.
4. Extracorporeal Shock Wave Lithotripsy (ESWL)
This method breaks smaller gallstones into tiny fragments so they can be expelled from the body, suitable for patients whose stones are not deeply located and are of moderate size. However, because bile ducts are very narrow, even fragmented stones may have difficulty passing out of the body.
5. Endoscopic Stone Removal
Endoscopic stone removal is a minimally invasive procedure that directly removes stones from the gallbladder or bile ducts using an endoscope.
Note: During treatment, patients with gallstones should avoid spicy, sour, cold, greasy, and high-fat foods. They should consume light, low-fat, and low-cholesterol diets to avoid interfering with recovery.
