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饮食养生:胆囊管结石怎么治疗

1.2、手术治疗1.2.1、肝外治疗1.2.1.1、胆总管切开取石、“t”形管引流术:为首选方法,可采用开腹或腹腔镜手术,适用于单纯胆总管结石、胆管上下端通畅、无狭窄或其他病变者。

1.2, surgical treatment 1.2.1, extrahepatic treatment 1.2.1.1, choledocholithotomy and "t" tube drainage: open or laparoscopic surgery can be used, which is suitable for patients with simple choledocholithiasis, unobstructed upper and lower bile ducts, no stenosis or other lesions.

2、胆囊管结石的症状2.1、腹痛腹痛是胆囊结石主要临床表现之一。

2. 1. Abdominal pain is one of the main clinical manifestations of cholecystolithiasis.

由于胆囊管被结石梗阻,使胆囊内压升高,胆囊平滑肌收缩及痉挛,并企图将胆石排出而发生剧烈的胆绞痛。

Due to the obstruction of the cystic duct by stones, the internal pressure of the gallbladder rises, the smooth muscle of the gallbladder contracts and spasms, and attempts to expel the gallstones, resulting in severe biliary colic.

坏疽性胆囊炎及化脓性胆囊炎可有寒战高烧。

Gangrenous cholecystitis and suppurative cholecystitis may have chills and high fever.

胆囊结石伴胆管炎,肿大胆囊压迫胆总管,引起部分梗阻,或由于感染引起肝细胞一过性损害等,都可造成黄疸。

Jaundice can be caused by gallstone with cholangitis, swelling and bold cystic compression of common bile duct, partial obstruction, or temporary damage of liver cells caused by infection.

表现为眼睛巩膜颜色变黄。

The color of the sclera turns yellow.

3、哪些人及不良生活习惯容易导致胆囊管结石3.1、女性。

3. Who and bad living habits easily lead to cystic duct stones 3.1, female.

胆结石病人中女性约占70%.且怀孕次数越多,发病率越高,其原因是由于女性雌激素水平高。

In women with gallstone, women account for about 70%. and the more pregnant times, the higher the incidence rate is due to high estrogen levels in women.

3.2、发病年龄。

2. Age of onset.

本病在儿童期少见,年龄在40~69岁的5年发病率是低年龄组的4倍。

This disease is rare in childhood. The incidence rate of 40~69 is 4 times that of the younger age group at 5 years of age.

3.3、体质肥胖。

3.3. Physical obesity.

肥胖者体重超过正常标准15%者,胆囊结石的发病率比正常人高5倍。

The incidence rate of gallstones is 5 times higher than that of normal people in those who are overweight and overweight. The incidence of gallstones is 15% times higher than that of normal people.

3.4、地区差异。

4. Regional differences.

胆囊管结石的危害1、主要病理改变是胆道梗阻和感染,由于肝胆管系统与肝脏实质细胞的直接关系,重症肝胆管炎常伴有严重的肝细胞损害,甚至导致大片的肝细胞坏死,成为了良性胆道疾病死亡的主要原因。

The main pathological changes of cholecystolithiasis are biliary obstruction and infection. Due to the direct relationship between hepatobiliary system and liver parenchymal cells, severe HEPATOCHOLANGITIS is often accompanied by severe hepatocyte damage, even leading to massive hepatocyte necrosis, which has become the main cause of death of benign biliary diseases.

感染的诱因与结石的梗阻和胆道的炎性狭狭窄有关。

The inducement of infection is related to the obstruction of stone and inflammatory stricture of biliary tract.

3、慢性期并发症可导致肝胆管癌。

3. Chronic complications can lead to hepatobiliary carcinoma.

肝内胆管结石病的慢性期并发症包括全身营养不良、贫血、低蛋白血症,慢性胆管炎和胆源性肝脓肿,多发性肝胆管狭窄,肝叶纤维化萎缩,胆汁性肝硬化、门脉高压症。

The chronic complications of intrahepatic cholelithiasis include systemic malnutrition, anemia, hypoproteinemia, chronic cholangitis and biliary liver abscess, multiple hepatobiliary stricture, hepatic lobe fibrosis and atrophy, biliary cirrhosis and portal hypertension.

感染的诱因与结石的梗阻和胆道的炎性狭窄有关。

The cause of infection is related to obstruction of stone and inflammatory stricture of biliary tract.

胆道的细菌性感染,不仅能损害胆囊的黏膜,而且能够通过以细菌为核心的胆盐沉积而形成结石。

Bacterial infection of biliary tract can not only damage the mucosa of gallbladder, but also form stones through bile salt deposition with bacteria as the core.

2、胆道寄生虫病这个是引发胆管结石常见的原因之一,常见寄生虫病为胆道蛔虫病。

2. This is one of the common causes of bile duct stones, common parasitic diseases for biliary ascariasis.

蛔虫的残骸在胆道内遗留积攒并且越来越大,导致胆管内的胆汁流速变慢,沉淀形成结石。

In addition, the accumulation of gallstones in the bile duct becomes more and more slow.

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