胆囊切除术治疗无症状胆结石。手术干预的适应症、机会和论据]。

A Popovici
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引用次数: 0

摘要

无症状胆道结石(通过临床外方法或术中意外发现),尽管其隐藏的特征,是一种疾病状态。无症状结石的发生率为1.3%-7.5%,需要使用几种治疗措施。这样,在发病时或在疾病转变为临床表现的痛苦时,特别是在60-70岁以后,或伴随其他疾病时,可以避免一些严重的并发症。温室治疗手段的适应症有限,或结果取决于几个参数,有些方法需要特殊的设备。作者建议行胆囊切除术,如果没有出现并发症,这是一种发病率最低、术后死亡率指数不显著的根治性解决方案。
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[Cholecystectomy in asymptomatic gallstones. Indications, opportunities and arguments in favor of surgical intervention].

Asymptomatic biliary lithiasis (discovered accidentally by paraclinical methods or intraoperatively) is, despite its hidden character, a state of disease. Asymptomatic lithiasis--having a frequency of 1.3%-7.5%--requires the use of several therapeutical measures. In this way some severe complications at the onset or at the turning of disease into a clinically manifest suffering, especially after the age of 60-70 years, or concomitantly with other affections, might be avoided. The conservatory therapeutical means have limited indications, or results dependent on several parameters, and some methods require a special equipment. The author pleads for cholecystectomy, which, if no complication appears, offers a radical solution with minimum morbidity and unsignificant postsurgical mortality indices.

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