南疆地区2245例胆囊结石患病现状及特点分析  

Analysis on the Epidemiological Characteristics and Features of 2245 Cases of Cholecystolithiasis in Southern Xinjiang

作　　者：温钰鹏 史康杰 杨海成 杨婧[1] 张宏伟[1] 陈骞[1] 褚志强[1] 张永国[1] 刘桂生[1] 张示杰[1] WEN Yu-peng;SHI Kang-jie;YANG Hai-cheng;YANG Jing;ZHANG Hong-wei;CHEN Qian;CHU Zhi-qiang;ZHANG Yong-guo;LIU Gui-sheng;ZHANG Shi-jie(Department of Hepatobiliary Surgery,the First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi,832008)

机构地区：[1]石河子大学医学院第一附属医院肝胆外科,新疆石河子832008

出　　处：《农垦医学》2021年第4期345-350,共6页Journal of Nongken Medicine

基　　金：兵团科技攻关项目(2018AB022)。

摘　　要：目的:了解南疆地区胆囊结石疾病的临床特征。方法:收集2014年3月1日至2019年3月1日期间在南疆兵团三所医院经B超或手术确诊胆囊结石并在本地居住5年以上的住院患者,共2245例的临床资料,按年龄、性别、民族、职业、手术方式、治疗适宜率等分组进行回顾性分析。结果:所调查2245例患者中,女性占比66.5%,少数民族占比31.0%,随时间变化少数民族占比逐渐增高;手术治疗者占60.5%,适宜治疗患者占比92.83%,且随时间变化手术治疗占比与适宜治疗率占比逐渐增高,差异均有统计学意义(均P<0.05);腹腔镜胆囊切除术是治疗胆囊结石主要的手术方法。结论:胆囊结石是南疆地区肝胆外科的主要疾病。随时间推移,少数民族占比增高,手术治疗患者占比增高,同时治疗适宜率有所增加;手术患者中腹腔镜胆囊切除术是主要的手术方法。Objective:To understand the clinical features of gallbladder stone disease in southern Xinjiang.Methods:Collected clinical data of 2245 cases of inpatients who were diagnosed with gallbladder stones by ultrasound or surgery in three hospitals of the Southern Xinjiang Corps during the period from 2014.3.1 to 2019.3.1 and lived in the local area for more than 5 years,according to age,gender,ethnicity,and occupation,Surgical methods,treatment suitability rates and other groups for retrospective analysis.Results:Among the 2245 patients surveyed,women accounted for 66.5%,ethnic minorities accounted for 31.0%,and the proportion of ethnic minorities gradually increased over time,surgical treatment accounted for 60.5%,suitable treatment patients accounted for 92.83%,and surgery changes over time the proportion of treatment and the proportion of appropriate treatment gradually increased,the differences were statistically significant(all P<0.05);laparoscopic cholecystectomy was the main surgical method.Conclusions:Gallbladder stones are the main disease of hepatobiliary surgery in southern Xinjiang.Over time,the proportion of ethnic minorities has increased,the proportion of patients undergoing surgery has increased,and the appropriate rate of treatment has increased.Laparoscopic cholecystectomy is the main surgical method in surgical patients.

关 键 词：新疆南部 胆囊结石 回顾性研究 构成比 

分 类 号：R657.4[医药卫生—外科学]