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饮食养生:胆囊息肉是怎么引起的

文章目录一、胆囊息肉是怎么引起的二、胆囊息肉的治疗方法三、胆囊息肉的预防方法胆囊息肉是怎么引起的临床上所指的胆囊息肉包括有由胆囊炎症所引起的黏膜息肉样增生、胆囊黏膜细胞变性所引起的息肉样改变、胆囊腺瘤性息肉以及息肉样胆囊癌等。

Contents 1. How gallbladder polyps are caused; 2. Treatment methods of gallbladder polyps; 3. Prevention methods of gallbladder polyps. Clinically, gallbladder polyps include mucosal polypoid hyperplasia caused by gallbladder inflammation, polypoid changes caused by gallbladder mucosal cell degeneration, adenomatous polyps of gallbladder and polypoid gallbladder carcinoma.

胆囊腺瘤性息肉是潜在的癌前病变,与胆囊癌的发生有关。

Adenomatous polyp of gallbladder is a potential precancerous lesion, which is related to the occurrence of gallbladder cancer.

在正常人体胆细胞内也存在一种k-ras和一种g-ras两种基因,在正常情况下,这两种基因处于一种相对平衡状态,在机体抵抗力下降时,机体免疫细胞对上述两种基因的监控能力下降,再加上胆囊炎及胆固醇代谢异常等诱因,出现基因突变,使胆囊壁细胞发生一种异常增生现象,并向胆囊腔内生长赘生物,即胆囊息肉。

There are two genes, K-ras and g-ras, in normal human bile cells. Under normal conditions, these two genes are in a relatively balanced state. When the body's resistance is reduced, the monitoring ability of immune cells to the above two genes is reduced. In addition, with the inducement of cholecystitis and abnormal cholesterol metabolism, gene mutation appears, which makes gallbladder wall cells have an abnormal hyperplasia, And to the gallbladder cavity growth vegetation, namely gallbladder polyps.

对于大的胆囊息肉则提示恶性病变。

For large gallbladder polyps, malignant lesions are indicated.

年龄在胆囊息肉患者中胆囊腺瘤及胆囊癌的平均年龄以及胆囊息肉直径明显要比非肿瘤息肉性患者要大。

Age in patients with gallbladder polyps, the average age of gallbladder adenoma and gallbladder cancer and the diameter of gallbladder polyps were significantly larger than those of patients with non neoplastic polyps.

综合以上胆囊息肉恶变的危险因素,对于年轻的胆囊息肉患者,若息肉直径小(以10mm为界)又完全没有症状,则没有必要手术;对于年轻的胆囊息肉患者,若息肉直径小且仅有消化不良症状(腹胀、嗳气等),可以保守治疗。

Combined with the above risk factors of gallbladder polyps canceration, for young patients with gallbladder polyps, if the diameter of polyps is small (10 mm as the boundary) and there are no symptoms at all, there is no need for surgery; for young patients with gallbladder polyps, if the diameter of polyps is small and only dyspepsia symptoms (abdominal distension, belching, etc.), conservative treatment can be carried out.

而对于息肉直径<10mm,并且不具有胆囊息肉恶变的危险因素患者,可以观察,定期行超声探查。

For patients with a polyp diameter of & lt; 10mm, and no risk factors for malignant transformation of gallbladder polyps, we can observe and conduct regular ultrasound exploration.

如为癌性息肉,肿瘤局限于黏膜时可行单纯胆囊切除术;一旦肿瘤侵及肌层,就需要行扩大切除术,包括胆囊床肝脏楔形切除,淋巴结清扫。

If it is cancerous polyp and the tumor is confined to mucosa, simple cholecystectomy is feasible; once the tumor invades the muscular layer, extended resection is needed, including gallbladder bed, liver wedge resection and lymph node dissection.

胆囊息肉的预防方法1、饮食要有规律:早餐要吃好。

Gallbladder polyps prevention methods 1, diet should be regular: breakfast to eat well.

患者如果饮食没有规律,尤其是不吃早餐,则胆囊分泌的胆汁得不到利用,导致胆汁在胆囊中滞留时间过长,从而刺激胆囊形成胆囊息肉或使原来的息肉增大或增多。

If the patient's diet is not regular, especially if he does not eat breakfast, the bile secreted by the gallbladder can not be used, which leads to the bile staying in the gallbladder for a long time, thus stimulating the gallbladder to form gallbladder polyps or increasing the original polyps.

所以,患者应降低胆固醇的摄入量。

Therefore, patients should reduce their cholesterol intake.

必要时也可取山楂、菊花、决明子等做成药茶经常饮用,以达到降低胆固醇的目的。

If necessary, hawthorn, chrysanthemum, cassia seed can be made into medicinal tea, and often drunk to achieve the purpose of reducing cholesterol.

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