[????] ????? case study

1. ??? profile
??: ?XX ??: 57? ??: M ??: ??? ? ?(23?, 19?)
???: 2004? 4? 13? ???: GB(gallbladder) stone
???: cholecystectomy C/C: nausea, ??(??RUQ)
???: 2004? 4? 16?¡«22?

2. ????
??? ?? ??? ?? ??? ?? ???? ????, ??? ??, ?? ??? ?? ????. ??? 40? ???? ???? ????. ??? ??? ??? ? ??? ?? ??? ¢Ù?? ??? ?? ¢Ú??? ??(stasis)? ??? ??? ?? ¢Û??? ??? ???? ?? ???? ??? ?? ??, ¢Ü?? ?? ?? ??? ??? ??? ????. ??? ??? ?? ????? ??(cholesterol stones), ??? ??(pigment stones) , ??? ??(mixed stones)?? ????. ??? ??? ?? ?? ???? ?? ?? ??? ??? ???? ?? ?? ? ??, ???(epigastric pain) ???? ???, ?? ??, ??? ? ??(RUQ area)? ??? ?? ?? ??? ? ???, ??? ???? ??? ???? ????? ?? ??? ?? ?? ??? ? ??. ??? ??? ??? ??? ??? ??? ???, ??? ??? ???? ???? ??? ???? ?? ????? ??? ????? ???? ?? ?? ???, ??? ??? ?? ????, ?? ??? ???(extracorporeal shock wave lithotripsy: ESWL), ??? ?????(percutanneous cholecystolithotomy), ??? ?? ???(laparo scopic cholecystectomy)?? ????.