胆石病临床流行病学调查——附8585例分析  

Intrahepatic cholelithiasis in Guangxi area, an analysis of 8585 cases

作　　者：陈希纲[1] 刘家奇[1] 彭民浩[1] 王文光[1] 杨定华[1] 胡德宏 刘达云 邓建宁 

机构地区：[1]广西医科大学第一附属医院肝胆外科,南宁530021 [2]广西壮族自治区医院 [3]南宁市第一医院 [4]南宁市第四医院

出　　处：《中华普通外科杂志》2002年第2期99-101,共3页Chinese Journal of General Surgery

摘　　要：目的探讨广西地区胆石病临床流行病学现状。方法根据中华医学会胆道外科学组制定的全国胆石病临床调查表 ,对广西地区 19年期间 (1981.1～ 1999.12 )经手术治疗的 85 85例胆石病患者进行回顾性临床流行病学登记调查 ,资料经计算机整理后用PEMS软件包进行统计分析。结果胆石病中肝内胆管结石的构成比有上升趋势 ,在农民患者中肝内胆管结石在胆石症中的构成比由 1981～ 1985年间的 2 3 4%上升到 1991～ 1999年间的 5 5 8% ,而性别的构成比差别不大。肝内胆管结石发病高峰年龄为 31～ 40岁 ,病死率在胆石病中最高。结论肝内胆管结石仍然是非常多见的疾病 ,在农民中发病率甚至有显著上升 。ObjectiveTo investigate the clinical epidemiology of intrahepatic cholelithiasis in Guangxi area. MethodsAn retrospective analysis was made on 8?585 cases of intrahepatic cholelithiasis proved by exploration in a period of 19 years. Data were collected and analyzed by computer PEMS.ResultsThe intrahepatic cholelithiasis accounted for more than one third of all biliary stone disease treated during the same period. The prevalence of intrahepatic cholelithiasis in peasants victim increased from 23.4% out of all gall stones in a period of 1981～1985 to 55.8% between 1991～1999. The constituent ratio of intrahepatic lithiasis in males was nearly the same to that in females. The peak age range of patients with intrahepatic lithiasis was 31～40, and the mortality was the highest among all biliary stone disease. ConclusionsIntrahepatic cholelithiasis is by no means a vanishing disease,especially in rural area.

关 键 词：胆结石 流行病学 小地区分析 

分 类 号：R657.4[医药卫生—外科学]