胆囊结石的临床策略与个体化治疗

Clinical strategy and individualized treatment of cholecystolithiasis

胆囊结石是外科常见病、多发病,其形成是多因素、多环节、多步骤的过程,常伴有多种代谢性疾病.而胆囊结石的治疗方法、手术时机和手术方式又受多种因素影响,因内外科临床医师在诊治策略上不尽相同,在“胆囊是否切除”这一命题上常困惑不已.本文在研究国内外胆囊结石诊治进展的基础上,结合临床治疗实践,就胆囊结石诊治过程中目前存在的问题、治疗的基本原则、个体化治疗的策略作一探讨,旨在增强基层医师及全科医师对胆囊结石的认识,制定个体化的治疗方案,避免治疗的过度与不足,做到治疗“规范化”“个体化”,患者受益“最大化”.

Gallstone is a common and frequently-occurring disease in surgery,and its formation is a process of many factors,many links and many steps,often accompanied by a variety of metabolic diseases.The treatment of cholecystolithiasis,operation time and operation mode are influenced by many factors.Clinicians are often confused because of their different strategies in diagnosis and treatment.Based on the domestic and foreign research progress of diagnosis and treatment of gallbladder calculi,combined with clinical practice,this article discusses the existing problems in the diagnosis and treatment of gallstone problems,treatment principles,individualized treatment strategy to make a discussion,aimed at strengthening grassroots doctors and general practitioners awareness of gallstones,individual treatment protocol.Therefore we could avoid excessive and inadequate treatment,and make the treatment of 'standardization'' individualization',the benefit of the 'maximum'.