1.Why do all patients need abdominal ultrasound? For the examination of biliary tract diseases, ultrasound (color ultrasound) is preferred. Because B ultrasound is an economical and non-invasive examination method, abdominal B ultrasound has now become the preferred method for the examination of abdominal diseases. Domestic experts report that the detection rate of ultrasound is 9
Ultrasound can clearly show the location, size, number and local changes of gallbladder lesions.
It is easy and reliable. 2.Why do some patients need MRI? MRI is gradually being used for the examination of biliary tract diseases inside and outside the liver. This type of examination has its advantages for the overall observation of the biliary tract pattern. When bile duct diseases are suspected, such as Mirrizi syndrome, bile duct stones, bile duct cancer, biliopancreatic duct coarctation abnormalities, common bile duct cysts, sclerosing cholangitis and other diseases, MRI is needed to clarify the extent of bile duct lesions. 3.Why do some patients need CT? CT examination can examine the intra-abdominal organs and tissues themselves and the adjacent structures between them. Some gallbladder diseases, such as: gallbladder polyps with malignant potential, gallbladder cancer, severe cholecystitis, etc. require CT examination to clarify the location, cumulative extent, and nature of lesions. It has guiding significance for further determining the surgical treatment plan. 4.What kind of gallbladder stones need surgery? Surgery for cholecystitis is one of the most common surgeries in abdominal surgery at present. With the continuous development of medical science, laparoscopic minimally invasive cholecystectomy has now become the best method to treat gallbladder disease. Its safe, minimally invasive, less painful and quick recovery features have been recognized by doctors and patients all over the world. The following conditions usually require surgical treatment (1) Patients with severe clinical symptoms, ineffective drug treatment, and continued deterioration of the condition, which cannot be easily relieved by non-surgical treatment. (2) Patients with enlarged or gradually enlarged gallbladder, significant abdominal pressure pain, severe tension in the abdominal muscle or gangrene and perforation of the gallbladder, complicated by diffuse peritonitis. (3) Recurrent episodes of acute cholecystitis with clear diagnosis, aggravation of abdominal signs after treatment, and obvious signs of peritoneal irritation. (4) Laboratory examination, those with significantly elevated blood leukocytes with a total count of 20×109/L or more. (5) Chills, chills, high fever and tendency to toxic shock. 5.What kind of gallbladder polyps need to do surgery? (1) Single lesion, larger than 10mm, with thick tip, especially if it is located in the neck of gallbladder and older than 50 years old. (2) Multiple lesions, with gallbladder stones, symptomatic, age > 50 years. (3) Single lesion, less than 10 mm, asymptomatic, age less than 50 years, observation and follow-up are allowed; lesions that increase in size or change in morphology should be treated surgically. (4) Doppler ultrasound examination of the lesion with abundant blood supply suggests a malignant neoplasm. (5) CEA (tumor marker), the measured value is significantly increased and other gastrointestinal tumors are excluded. (6) Gallbladder polyp-like lesions with significant symptoms and recurrent recurrence. (7) Asymptomatic patients with diameter less than 5 mm should be followed up at intervals of 3 to 5 months. Once the lesion is enlarged or symptomatic, surgery should be performed.