Detailed explanation of the diagnosis method of gallstones

Detailed explanation of the diagnosis method of gallstones

The diagnostic methods for gallstones mainly include imaging examinations, laboratory tests and clinical symptom assessment. Ultrasound examination is the first choice, which can quickly and non-invasively confirm the diagnosis. CT and magnetic resonance imaging can further clarify the location of stones and complications, while laboratory tests help evaluate inflammation or liver function status.

In imaging examinations, abdominal B-ultrasound is the preferred tool for diagnosing gallstones, which can clearly show the location, size and changes in the gallbladder wall of gallstones. CT imaging is suitable for patients with suspected complications or complicated stones. It can accurately display anatomical details and help determine whether the stones have migrated to the common bile duct. Magnetic resonance imaging (MRCP) is a non-invasive method that is very suitable for evaluating the overall condition of the biliary system, especially for common bile duct stones and biliary obstruction. Laboratory tests mainly focus on liver function indicators (such as ALT, AST, alkaline phosphatase) and inflammatory markers (such as white blood cell levels, C-reactive protein) in the blood. These data can indicate whether the stones cause cholecystitis or biliary infection. On this basis, the doctor will also make a comprehensive diagnosis based on the patient's clinical symptoms, such as intermittent colic in the right upper abdomen, jaundice, fever, etc., combined with imaging and laboratory results.

In imaging examinations, abdominal B-ultrasound is the preferred tool for diagnosing gallstones, which can clearly show the location, size and changes in the gallbladder wall of gallstones. CT imaging is suitable for patients with suspected complications or complicated stones. It can accurately display anatomical details and help determine whether the stones have migrated to the common bile duct. Magnetic resonance imaging (MRCP) is a non-invasive method that is very suitable for evaluating the overall condition of the biliary system, especially for common bile duct stones and biliary obstruction. Laboratory tests mainly focus on liver function indicators (such as ALT, AST, alkaline phosphatase) and inflammatory markers (such as white blood cell levels, C-reactive protein) in the blood. These data can indicate whether the stones cause cholecystitis or biliary infection. On this basis, the doctor will also make a comprehensive diagnosis based on the patient's clinical symptoms, such as intermittent colic in the right upper abdomen, jaundice, fever, etc., combined with imaging and laboratory results.

After diagnosis, follow-up treatment should be determined based on the severity of the disease. If the stones are asymptomatic, temporary observation and dietary control can be used to prevent expansion; if biliary colic or inflammation occurs, surgical treatment (such as laparoscopic cholecystectomy) is recommended. Regular physical examinations are important, especially for high-risk groups such as obese patients, diabetics, and those with a family history of gallstones. Early examinations can reduce the risk of complications. At the same time, paying attention to a light diet and moderate exercise can help prevent further disease development in the biliary system.

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