1, observation: According to the specific situation, patients without symptoms can consider observing first, and no special treatment is needed for the time being.
2. Lithotripsy treatment: For cholesterol stones, the gallbladder function is good, and there is no obvious cystic duct obstruction, so litholysis treatment can be considered. Lithotripsy treatment is mainly to take ursodeoxycholic acid cholagogic drugs for a long time, but the effect is not absolutely able to dissolve stones, depending on the specific situation, long-term medication is needed.
3. Surgical treatment: If there are many and large stones, or porcelain-like gallbladder, gallbladder polyps exceeding 1cm, and gallbladder wall thickening obviously, it is recommended to consider surgical treatment even if there are no symptoms. For patients with recurrent symptoms or ineffective conservative treatment, surgery can only be considered at last. The surgical treatment scheme is divided into cholecystectomy and gallbladder-preserving lithotomy, which should be chosen according to the specific situation, and most of them choose cholecystectomy. At present, the indications of gallbladder-preserving lithotripsy are strict, and a series of complications such as stone recurrence and cholecystitis are prone to occur after operation.
Therefore, there is no best treatment for gallstones, depending on which method is suitable for your own situation.