肝内胆管结石的治疗方法有哪些 陆贝 浙江大学医学院附属杭州市第一人民医院 скачать в хорошем качестве

肝内胆管结石的治疗方法有哪些 陆贝 浙江大学医学院附属杭州市第一人民医院

肝内胆管结石的治疗方法有哪些 陆贝 浙江大学医学院附属杭州市第一人民医院 肝内胆管结石由于受到解剖结构的影响，治疗相对比较复杂比较棘手。临床上治疗肝内胆管结石把握的原则就是解除梗阻，畅通引流，防止并发症为主。肝内胆管结石早期是没有临床症状的，结石在体内通常是由于体检时候来发现，这部分病人通常建议他临床观察，保守治疗，并不需要手术介入，比方通过合理的饮食，减少高胆固醇，高热量，高脂肪食物的摄入，多增加水果，蔬菜，优质蛋白和维生素的摄入，来尽可能的改善这个胆汁的成份减少结石的再产生，还可以通过有利于排胆，改变胆炎成份，减少结石复发的这些药物来控制，防止结石的增多来产生症状。有症状的肝内胆管结石或者讲结石已经引起了局部的梗阻，引起了胆管的变性，甚至有一部分病人可以有恶变倾向的，那部分病人还是需要通过我们外科的干预来进行治疗的，干预的方法就是连通病变段的胆管和肝组织要进行一并的切除，这两点是主要的治疗方法。 What are the treatment methods of hepatolithiasis Due to the influence of anatomical structure, intrahepatic cholelithiasis, The treatment is relatively complex and difficult. The principle of clinical treatment of hepatolithiasis is to relieve obstruction, Smooth drainage, Prevention of complications. There is no clinical symptom in the early stage of hepatolithiasis, Stones are usually found in the body by physical examination, This part of patients usually suggest clinical observation, Conservative treatment, There is no need for surgical intervention, For example, through a reasonable diet, Reduce high cholesterol, High heat, High fat food intake, Add more fruits, Vegetables, High quality protein and vitamin intake, To improve the composition of the bile as much as possible and reduce the recurrence of stones, It can also be used to remove gall, Change the composition of cholangitis, These drugs can reduce the recurrence of stones, Prevent the increase of stones to produce symptoms. Symptomatic intrahepatic bile duct stones or stones have caused local obstruction, It causes the degeneration of the bile duct, There are even some patients who have a tendency to malignant change, Those patients still need to be treated through our surgical intervention, The intervention method is to resect the bile duct and liver tissue connecting the diseased segment, These two points are the main treatment.