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作 者:吴自强[1] 曹建华[1] 吴可夫[1] 文莉娟[1] 王超[1]
机构地区:[1]宁夏医学院二附院,银川750001
出 处:《现代预防医学》2007年第3期487-489,共3页Modern Preventive Medicine
基 金:宁夏银川市科技攻关项目医学类(2004-30)
摘 要:[目的]探讨宁夏地区胆结石成分特点。[方法]化学法对91例不同部位(胆囊、胆管)、不同民族(回族、汉族)的胆结石进行主成分及微量元素含量的检测。[结果]胆囊结石占90.11%,胆固醇类结石占88.5%,胆固醇均值含量为(809.07±14.91)μg/mg;胆管结石占9.89%,胆色素类结石占4.87%,胆红素均值含量为(26.41±4.91)μg/mg;其他类结石占4.66%。胆固醇、胆红素、钙、铁、铜、锌、镁、锰等微量元素在胆囊胆汁中含量,胆石病患者明显高于非胆石病患者,在胆石中的含量回族与汉族无显著差别。[结论]宁夏地区胆石类型以胆囊胆固醇类为主,回族与汉族胆结石成分无显著差别。长期高热量饮食致体内脂酯代谢紊乱的是结石形成主要危险因素。[ Objective] To analyze the component features of gullstone in NingXia area. [ Mehtods] Main component and minor element of 91 gallatone specimens came from different locations (cholecystis, biliary ducts) and different nations (Muslim population, Han people) were quantitatively determined with chemical method. [ Results] Cholecystolithiasis accounted for 90.11%, cholesterol stone 86.44%, bilirubin calculus 4.87%, bilins stone 9.89%, bilirubin (26.41 ±4.91)μg and other stone 4.66%. Mean contents in gall bladder bile of cholelithiasis patients, which included cholesterol, bilirubin, calcium, iron, copper, zinc, magnesium, manganese, were higher than that of patients of non-cholelithiasis, and were no significant difference in gallstone of Muslim population and Han people. [Conclusions] Cholesterol stone of cholecystolithiasis was the main type in NingXia area. Component of gallstone was no significant difference between Muslim population and Han people in NingXia area. Main risk factor of lithogenesis was indiscriminate metabolism of lipid and esters owing to long-term high calorie diet.
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