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胆结石没症状要治疗吗 - Is gallstone asymptomatic to be treated?

文章导读

患上胆结石最为明显的症状就是出现右上腹疼痛等症状,不过并不是所有的胆结石患者身体都会出现症状,有些胆结石患者身体是没有症状的,一般情况下,胆结石如果没有任何症状,大多数人都不会选择去医院进行治疗,除非吃身体出现不适的症状,才会进行治疗,胆结石没症状要治疗吗?

胆结石没症状要治疗吗 - Is gallstone asymptomatic to be treated?

胆结石没症状要治疗吗?

无症状的胆结石是否需要治疗可根据具体病情进行判断,具有以下情况的患者需要治疗

1、胆囊单发和多发结石,部分结石大小>2.5-3mm的患者;

2、胆囊结石合并胆囊息肉、胆囊腺肌症的患者;

3、合并高血压、糖尿病、冠心病等疾病的患者;

4、B超提示胆囊壁局限性增厚,超过4mm或者5mm的患者;

5、胆囊里面充满结石,胆囊已无功能的患者。

胆结石没症状要治疗吗 - Is gallstone asymptomatic to be treated?

胆结石需要治疗吗?

如果是已经发现胆结石的情况,是否需要治疗还得分情况来看,这大概可以分几类:一种是有症状的,还有一种是没有症状的。

没有症状的结石可以观察,但是如果是有特殊疾病的无症状胆结石患者,如泥沙样结石的患者,还有胆囊结石合并有内科疾病比方有糖尿病,以及肾功能不全的患者是需要做进一步的治疗的。

而如果是有症状的胆结石患者,基本上是需要做进一步治疗,最好是做进一步治疗。这是因为胆囊结石有很多其他的进一步发展的疾病的情况。在急性发作的时候,胆结石可以引起急性胆囊炎,引起胆囊坏疽,甚至穿孔;如果胆囊结石排到胆总管,就会引起梗阻性胆管炎和黄疸,甚至可以引起胆源性胰腺炎、重症胰腺炎或者急性坏死性胰腺炎。这些情况会威胁病人的生命安全,因此建议有症状的胆结石患者做进一步治疗

无症状的胆结石患者:保守治疗

保守治疗就是暂时观察。在保守治疗方面,范围是比较窄的。没有症状的胆囊结石患者,如果结石数量为单个或结石不会引起穿孔及梗阻的患者,可以考虑保守治疗

胆结石没症状要治疗吗 - Is gallstone asymptomatic to be treated?

有症状的胆结石患者:手术治疗

但是患者一旦出现症状,比如痛或者不舒服的情况,又或者急性胆绞痛发作,那就需要去医院进行相关的治疗。如果有症状的病人,一般主张都做胆囊的摘除。如果是无症状的胆囊结石,积极点也可以在腹腔镜下做保胆取石的治疗。但有症状的患者基本上不主张做保胆取石,因为做腹腔镜胆囊切除才能去除后面的相关、更严重的疾病的发生。


Article reading guidance

The most obvious symptoms of gallstones are right upper abdominal pain and other symptoms, but not all patients with gallstones will have symptoms. Some patients with gallstones have no symptoms. Normally, if gallstones do not have any symptoms, most people will not choose to go to the hospital for treatment, unless the body appears uncomfortable symptoms, they will be treated. Treatment, gallstones without symptoms to be treated?

胆结石没症状要治疗吗 - Is gallstone asymptomatic to be treated?

Does gallstone have no symptoms to be treated?

Whether asymptomatic gallstones need treatment can be judged according to the specific condition. Patients with the following conditions need treatment:

1. Single and multiple gallbladder stones, part of the size of stones - gt; 2.5-3mm patients;

2. Patients with gallstone complicated with gallbladder polyp and adenomyosis of gallbladder;

3. Patients with hypertension, diabetes and coronary heart disease;

4. Ultrasound showed localized thickening of gallbladder wall in patients over 4 mm or 5 mm.

5. The gallbladder is full of stones, and the gallbladder has no function.

胆结石没症状要治疗吗 - Is gallstone asymptomatic to be treated?

Does gallstone need treatment?

If gallstones have been found, whether they need treatment or not can be divided into several categories: one is symptomatic, the other is asymptomatic.

Symptomless stones can be observed, but further treatment is needed for asymptomatic gallstone patients with special diseases, such as sediment-like stones, gallstones with medical diseases, such as diabetes, and renal insufficiency.

And if there are symptomatic gallstone patients, basically need to do further treatment, the best is to do further treatment. This is because gallstones have many other conditions for further development. In acute attacks, gallstones can cause acute cholecystitis, gallbladder gangrene, or even perforation; if gallstones are discharged into the common bile duct, they can cause obstructive cholangitis and jaundice, and even biliary pancreatitis, severe pancreatitis or acute necrotizing pancreatitis. These conditions can threaten the life safety of patients, so it is recommended that patients with symptomatic gallstones should be treated further.

Asymptomatic gallstone patients: conservative treatment

Conservative treatment is temporary observation. In the field of conservative treatment, the scope is relatively narrow. For asymptomatic patients with gallstones, conservative treatment may be considered if the number of stones is single or the number of stones does not cause perforation and obstruction.

胆结石没症状要治疗吗 - Is gallstone asymptomatic to be treated?

Symptomatic gallstone patients: surgical treatment

But once a patient has symptoms, such as pain or discomfort, or an acute cholecystitis attack, it is necessary to go to the hospital for treatment. If there are symptoms of patients, it is generally advocated to do gallbladder removal. If it is asymptomatic gallstone, the positive point can also be done under laparoscopy cholecystolithotomy treatment. But patients with symptoms basically do not advocate cholecystectomy, because laparoscopic cholecystectomy can remove the later related, more serious diseases.