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饮食养生:胆息肉手术是大手术吗

否则,假如息肉恶变,成为胆囊癌,其预后极差,多数病人在发病数月内死亡。

Otherwise, if polyp canceration, become gallbladder cancer, its prognosis is very poor, most patients die within a few months of onset.

如发生变化应尽早手术,现在胆囊切除可以做腹腔镜手术,创伤小恢复快,术后第二天即可下床活动。

If there is any change, the operation should be performed as soon as possible. Now, laparoscopic cholecystectomy can be performed with less trauma and faster recovery. The next day after operation, the patient can get out of bed.

低胆固醇饮食。

Low cholesterol diet.

胆固醇摄入过多,可加重肝胆的代谢、清理负担,并引起多余的胆固醇在胆囊壁结晶、积聚和沉淀,从而形成息肉,所以,胆囊息肉患者应降低胆固醇摄入量,尤其是晚上,应避免进食高胆固醇类食品如:鸡蛋(尤其是蛋黄)、肥肉、海鲜、无鳞鱼类、动物内脏等食品。

Excessive intake of cholesterol can aggravate the metabolism of liver and gallbladder, clean up the burden, and cause excess cholesterol to crystallize, accumulate and precipitate in the gallbladder wall, thus forming polyps. Therefore, patients with gallbladder polyps should reduce their cholesterol intake, especially in the evening, avoid eating high cholesterol foods such as eggs (especially egg yolk), fat, seafood, scaleless fish, animal viscera and other food.

胆囊息肉的情况在临床上比较多见,患者一旦检查出来有胆囊息肉的情况,一定要尽早的接受治疗,胆囊息肉的癌变率较高,延误治疗的情况下,很有可能发生恶变,导致患者出现胆囊癌的情况。

The situation of gallbladder polyps is more common in clinic. Once the patients check out the situation of gallbladder polyps, they must be treated as soon as possible. The canceration rate of gallbladder polyps is high. In the case of delayed treatment, it is very likely to have malignant transformation, leading to the occurrence of gallbladder cancer in patients.

2、三维超声成像可使胆囊具有空间方位的立体感,透声性好,有直视胆囊剖面的效果,可弥补二维显像某些不足。

2. Three dimensional ultrasound imaging can make the gallbladder have a three-dimensional sense of spatial orientation, good sound permeability, and have the effect of looking directly at the gallbladder section, which can make up for some shortcomings of two-dimensional imaging.

不仅可观察胆囊息肉的大小形态,更可分清息肉和胆囊壁的关系,尤其在胆囊后壁的息肉二维显像常不能清楚地分辨是否有蒂以及蒂与胆囊壁附着的范围和深度。

It can not only observe the size and shape of gallbladder polyps, but also distinguish the relationship between the gallbladder wall and the polyps. Especially in the posterior wall of the gallbladder, two-dimensional imaging of the polyps can not clearly distinguish whether there is a pedicle and the extent and depth of the pedicle attached to the gallbladder wall.

三维重建能通过不同切面的旋转来观察病变的连续性及病变表面的情况等信息,有助于提高胆囊息肉与胆囊腺瘤或癌肿的鉴别。

Three dimensional reconstruction can observe the continuity of lesions and the surface of lesions by rotation of different sections, which is helpful to improve the differentiation of gallbladder polyps from gallbladder adenoma or carcinoma.

如果在有经验的医生操作下,则创伤小、恢复快。

If it is operated by experienced doctors, the trauma is small and the recovery is fast.

3、保胆手术胆囊有消化和储藏胆汁的作用,一部分患者觉得切了可惜,可以采用保胆囊取息肉的方法,保胆手术在皮肤上打个小口,用纤维胆道镜进入胆囊,找到病理的部位。

3. Gallbladder preservation surgery has the function of digestion and storage of bile. Some patients feel that it is a pity to cut the gallbladder. The method of gallbladder preserving surgery is to take out polyps. A small incision is made on the skin during the gallbladder preservation operation, and the pathological site is found by using the choledochoscope.

这种方法的优势在于保住了整个胆囊,而且可以做病理检查,看看息肉到底是恶性的还是良性的,如果是恶性的就同时处理。

The advantage of this method is to keep the whole gallbladder, and can do pathological examination to see whether the polyp is malignant or benign, if it is malignant, it should be treated at the same time.

但这种方法开展的时间比较短,还有待临床的进一步观察。

However, the time of this method is relatively short, which needs further clinical observation.

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否则,假如息肉恶变,成为胆囊癌,其预后极差,多数病人在发病数月内死亡。Otherwise, if polyp canceration, become gallbladder cancer, its prognosis is very poor, most p

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