胆总管结石的治疗方法

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
N. V. Merzlikin, V. F. Podgornov, Ye. V. Semichev, P. Bushlanov, V. D. Talacheva
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引用次数: 3

摘要

介绍了目前在俄罗斯联邦诊所使用的治疗胆总管结石的方法。胆囊结石(GSD)在不同年龄组个体的诊断和治疗问题是突出的。在胆石症和胆总管结石的治疗研究中,包括所引起的并发症,可以得出结论,迄今为止还没有找到治疗这种病理的理想方法。到目前为止,大多数医生的主要治疗方法是通过某种方法手术切除胆结石。本文还考虑了一种保守方法(药物:抗痉挛药(选择性和非选择性),非药物:治疗,饮食),描述了治疗干预措施有效性的标准和评估,有助于进一步治疗的问题:继续药物治疗或手术治疗的分配。本文所涉及的侵入性技术,即远程内镜碎石技术,是目前急需的高科技技术,它与高效率的结石取出一起,减少了术后并发症的数量和严重程度。此外,在分析特定治疗方法的特点时,描述了不同治疗方法的优缺点,强调了适应症和禁忌症(绝对和相对),以及并发症、可能的结局和进一步的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
THE METHODS OF CHOLEDOCHOLITHIASIS TREATMENT
The methods of choledocholithiasis treatment, which are currently used in clinics of the Russian Federation, has been presented. The problems of diagnosis and treatment of gallstones (GSD) in individuals of different age groups are spotlighted. In the study of treatment of cholelithiasis and choledocholithiasis, including arising complications, it can be concluded that so far the ideal method of treatment of this pa-thology has not been found. Up to now, the majority of doctor’s main treatment is surgical removal of gall stones by some method or other. This article also considers a conservative approach (drug: antispasmodics (selective and nonselective), and non-pharmacological: treatment, diet), describes the criteria and assessment of the effectiveness of therapeutic interventions that help in the question of further treatment: the continuation of drug therapy or assignment of surgical treatment. Invasive techniques that are covered in the article, namely, a tech-nique of remote and endoscopic lithotripsy, are high-tech and in demand at the moment, which, along with high efficiency removal of a stone, reduced the number and severity of postoperative complications. Additionally, in the analysis of the features of a particular method of treatment, advantages and disadvantages of different treatment methods are described, indications and contraindications (absolute and relative) together with complications, possible outcomes, and further prognosis are high-lighted .
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来源期刊
Byulleten Sibirskoy Meditsiny
Byulleten Sibirskoy Meditsiny MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
50.00%
发文量
102
审稿时长
8 weeks
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