However, there are also patients who want to retain the gallbladder. For this kind of gallbladder preserving lithotomy, there are strict clinical standards.
For patients over 50 years old and with gallbladder atrophy, functional degradation or canceration, cholecystectomy is necessary for the treatment of gallstones; only those with single gallstone, good gallbladder function and gallbladder wall less than 4 mm can be considered for gallbladder preserving surgery.
2. The etiology of gallstones is sedentary and less active. Some people have less exercise and physical labor. As time goes on, the contractile force of gallbladder muscle will inevitably decrease and the bile emptying will be delayed, which will easily lead to cholestasis and precipitation of cholesterol crystals, which will create conditions for the formation of gallstones.
3. The clinical manifestations of gallstones depend on the size and location of stones, as well as the presence of obstruction and inflammation.
Large gallstone can cause the middle or right upper abdomen distension discomfort, belching and anorexia of greasy food and other dyspepsia symptoms.
Small stones often block the cystic duct after having a full meal, eating greasy food, or lying on their back at night, resulting in biliary colic and acute cholecystitis.
Due to the contraction of the gallbladder, small stones may enter the common bile duct through the cystic duct and cause obstructive jaundice. Then some stones can be discharged into the duodenum through the bile duct, while some stones stay in the bile duct and become secondary bile duct stones.
Gallstone in the absence of infection, generally no special signs or only the right upper abdomen mild tenderness.
But when there is acute infection, can appear in the upper abdomen and right upper abdomen tenderness, muscle tension, and sometimes palpable swelling and tenderness obvious gallbladder.
2. Active treatment of urinary tract infection.
4. Adjusting the pH of urine can prevent the occurrence of urinary calculi. For example, urate and oxalate will form in acidic urine, and phosphate and carbonate will form in alkaline urine.
5. To prevent metabolic diseases, if hyperthyroidism should be active surgical treatment.
The harm of gallstones to human body 1. About 20 "asymptomatic" gallstone patients appear biliary colic every year.
When the oil meal or at night, gallstone easily stuck in the neck of the gallbladder or cystic duct, once the stone incarcerated, the bile in the gallbladder can not flow out, so that the pressure in the gallbladder increases, the gallbladder expands, and the gallbladder has to strengthen its contraction in order to discharge its bile.
Gallbladder in a short period of time rapid expansion and contraction will produce severe colic.
This kind of colic is often continuous paroxysmal aggravation, severe shock and even life-threatening.
In addition, some small stones fall into the common bile duct and discharge into the duodenum. Each time they fall into the common bile duct, they can damage the sphincter of the hepatopancreas at the end of the common bile duct. If this happens repeatedly, the end of the common bile duct will be narrowed, followed by common bile duct stones and biliary pancreatitis.
不过,也有患者希望保留胆囊,对于这种保胆取石手术,临床上有严格的标准。However, there are also patients who want to retain the gallbladder. For this kind of gallbla
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