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随着内镜在临床中的广泛应用,采用非外科手术方法治疗胆管疾患的报道日渐增多,本文就此综述近年来国内外的一些文献如下。溶石疗法一大组多中心、双盲的前瞻性研究发现口服鹅去氧胆酸(CDCA)750mg/d 2年,胆石完全溶解仅为14%;另有报道熊去氧胆酸(UDCA),也具有溶解胆石的作用。CDCA的剂量宜口服15mg/kg·d,UDCA10mg/d。服药需持续到结石溶解后3个月,或者如
With the wide application of endoscopy in clinical practice, there is a growing number of reports of non-surgical treatment of biliary disorders. This article summarizes some of the literature at home and abroad in recent years. A large, multicenter, double-blind, prospective trial of lysorithium therapy found that oral chenodeoxycholic acid (CDCA) was 750 mg / d for 2 years with only 14% complete gallstone dissolution. Ursodeoxycholic acid (UDCA) , But also has the role of dissolving gallstones. CDCA dose should be oral 15mg / kg · d, UDCA10mg / d. Medication should be continued until 3 months after the stones dissolve, or as