%0 Journal Article
%T 急性胆囊炎诊疗进展<br>Progress in the Diagnosis and Treatment of Acute Cholecystitis
%A 雷瑞杰
%A 石洪波
%A 程伟
%A 刘学
%A 卓训航
%A 刘壮壮
%J Journal of Clinical Personalized Medicine
%P 151-158
%@ 2334-3443
%D 2025
%I Hans Publishing
%R 10.12677/jcpm.2025.41023
%X 急性胆囊炎通常是由于胆囊管阻塞以及结石对胆囊壁的刺激作用引起的&#65292;尽早地识别和手术是其首选的治疗方式&#65292;手术首选腹腔镜胆囊切除术&#65292;围术期适当的抗生素治疗可以减少术后并发症的发生&#65292;对于不能耐受手术的危重患者&#65292;在保守治疗后应尽早行手术治疗&#65292;保守治疗期间可行胆囊引流术(目前有经皮经肝胆囊引流、经皮经腹膜胆囊引流、内镜超声引导下胆囊引流、经内镜经乳头胆囊引流)。本文阐述了急性胆囊炎发病机制&#65307;综述了保守治疗&#65292;手术治疗方面的研究进展。<br>Acute cholecystitis is usually caused by the cystic duct obstruction and gallbladder wall stimulated by stones. The preferred treatment is early identification and surgery as soon as possible, laparoscopic cholecystectomy is the preferred surgical method. Perioperative appropriate antibiotic treatment can reduce the occurrence of postoperative complications. For critical patients who cannot tolerate surgery, surgical treatment should be conducted as soon as possible after conservative treatment. Gall-bladder drainage is feasible during conservative treatment (currently with Percutaneous Transhepatic Gallbladder Drainage, Percutaneous Transperitoneal Gallbladder Drainage, Endoscopic Ultrasound Guided Gallbladder Drainage, Endoscopic Transpapillary Gallbladder Drainage). This paper describes the pathogenesis of acute cholecystitis; it reviews the progress of conservative treatment and surgical treatment.
%K 急性胆囊炎&#65292
%K 发病机制&#65292
%K 治疗方式&#65292
%K 胆囊引流<br>Acute Cholecystitis
%K Pathogenesis
%K Therapy Method
%K Gallbladder Drainage
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=107148