连续10年对4176例老年人胆结石患病率B型超声检查  

A consecutive 10 years survey on the incidence of cholelithiasis in 4 176 elderlys by B mode ultrasoundgraphy

作　　者：顾倬云[1,2] 原金生[1,2] 孙愚[1,2] 

机构地区：[1]解放军总医院老年病研究所外科 [2]解放军总医院超声诊断科

出　　处：《军医进修学院学报》1997年第3期173-174,共2页Academic Journal of Pla Postgraduate Medical School

摘　　要：连续１０年对４１７６例老年人进行胆结石患病率调查。每例每年或每２年进行１次肝胆部位Ｂ超检查，共进行２７３４０人次。＜５９岁４２５例，检出５４例（１０．１８％）；６０～６９岁２１５６例，检出３２２例（１４．９４％）；７０～７９岁１４８２例，检出３０例（２７．５２％）；９０岁以上４例，检出２例（５０％）。胆囊癌检出率为０．０５％，在发生结石的１１个月、２１个月查出，占胆石病的０．２９％。高龄者胆石病显著增加，随着患者的增多，胆结石病潜在危险性增加。A consecutive 10 years survey on the incidence of cholelithiasis in a group of 4176 cases elderly was carried out by us yearly or biennially ie, altogether 27340 times, through B mode ultrasoundgraphy. Among these, 54 cases with such disease was found in the group of 425 cases whose ages was younger than 59 years old, positive rate was 10.18 per cent. And it was found that the incidence of cholelithiasis was higher when the age was older, ie, the positive rate was 14.94%(322/2156)in the 60￣69 years old group, 18.76%(278/1482)in 70￣79 years old group, 27.52%(30/109)in 80￣89 years old group and 50%(2/4)in the group whose ages were older than 90 years old. Two cases with carcinoma of cholecyst were found, after the gallstone confirmed 11 months and 21 months, respectively, the incidence of cancer of cholecyst was 0.29% in the patients with gallstone. Therefore, aging is one of the major risk factors for the gallstone formation, and its incidence increases according to the age increased in the elderly significantly.

关 键 词：胆结石 发病率 老年人 B超 超声波检查 

分 类 号：R575.620.1[医药卫生—消化系统]