胆囊切除与非酒精性脂肪肝关系的初步探讨  

Association of cholecystectomy with non-alcoholic fatty liver

作　　者：黄耀彬[1] 李焕敏[2] 李春光[3] 

机构地区：[1]南方医科大学第三附属医院影像科,广州510630 [2]南方医科大学第三附属医院神经内科,广州510630 [3]南方医科大学珠江医院神经内科,广州510280

出　　处：《临床肝胆病杂志》2014年第7期644-646,共3页Journal of Clinical Hepatology

摘　　要：目的探讨人群中胆囊切除与非酒精性脂肪肝的关系。方法选用广州地区2011年1月-2013年12月在南方医科大学第三附属医院参加体检的110例胆囊切除患者为研究对象,均无病毒性肝炎和大量酒精摄入史。为明确非酒精性脂肪肝,所有患者均行CT扫描,并且检测血液中甘油三酯和胆固醇的水平。结果 110个胆囊切除患者中非酒精性脂肪肝的患病率为38.18%(42人),其中男性的患病率为45.90%(28人),女性的患病率为28.59%(14人)。所有入组对象中血脂升高者占70.91%(78人),血脂正常者为29.09%(32人)。结论胆囊切除可能是非酒精性脂肪肝发病的一个危险因素。Objective To investigate the association of cholecystectomy with non -alcoholic fatty liver. Methods The 110 adults treated by cholecystectomy, who underwent physical examination in the Third Affiliated Hospital of Southern Medical University from January 2011 to December 2013, were included in the study. None of the subjects had a history of viral hepatitis and alcohol abuse. All subjects underwent CT scanning and measurement of serum triglyceride and cholesterol levels to confirm the diagnosis of non - alcoholic fatty liver. Results Among the 110 subjects, 42 （38.18%） had non - alcoholic fatty liver, including 28 males （45.90%） and 14 females （28.59%） ; 78 （70.91%） had increased blood lipids, and 32 （29.09%） had normal blood lipids. Conclusion Cholecystectomy may be a risk factor for NAFLD.

关 键 词：胆囊切除术 非酒精性脂肪肝 体层摄影术 螺旋计算机 

分 类 号：R575.5[医药卫生—消化系统]