基于不同辨证体系分析保胆取石术后结石复发中医病机的研究进展

The research progress of traditional Chinese medicine pathogenesis of sto ne recurrence after gallbladder saving lithotomy was analyzed based on different syndrome differentiat ion systems

近年来,随着内镜诊疗技术的广泛应用,保胆取石术作为胆囊结石的治疗方法逐渐被患者接受,但术后的高复发率仍然是治疗中的难题。针对保胆取石术后结石复发的防治,中医工作者不断探索,取得了一定进展。本文对近六年关于保胆取石术后结石复发中医病机的研究文献进行分析总结,基于脏腑理论和气血津液理论两个维度的辨证体系归纳保胆取石术后结石复发中医病机的研究进展,并探讨其不足,以期为中医药防治保胆取石术后结石复发提供依据。

In recent years,with the wide application of endoscopic diagnosis and treatment technology,gallbladder saving lithotomy has been gradually accepted by patients as a treatment method for gallstones,but the high postoperative recurrence rate is still a difficult problem in the treatment.In view of the prevention and treatment of stone recurrence after gallbladder saving lithotomy,Chinese medicine workers continue to explore and make some progress.This paper analyzed and summarized the traditional Chinese medicine literature on the pathogenesis of stone recurrence after gallbladder-saving lithotomy in the past six years,and summarized the research progress on the pathogenesis of stone recurrence after gallbladder-saving lithotomy based on the syndrome differentiation system of zanfu theory and Qi-blood-body fluid theory,and discussed its shortcomings,in order to provide a basis for the prevention and treatment of stone recurrence after gallbladder-saving lithotomy with tradit ional Chinese medicine.