上海芷江西路社区859例65岁以上老人腹部超声检查结果回顾性分析  

Retrospective analysis of 859 cases of abdominal ultrasound examination in elderly people over 65 years old in Zhijiangxilu Community,Shanghai

作　　者：樊智鹰 FAN Zhiying(Ultrasound Room of Zhijiangxilu Community Health Service Center of Jingan District,Shanghai 200070,China)

机构地区：[1]上海市静安区芷江西路街道社区卫生服务中心超声室,上海200070

出　　处：《上海医药》2024年第16期60-62,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:分析社区65岁以上老人体检者腹部超声结果,了解社区老人腹部超声异常情况。方法:回顾性分析2022年9月至12月859例65岁以上老人体检者的腹部超声检查结果,其中男性359例,女性500例,平均年龄(70.98±4.80)岁。结果:859例体检者中检出腹部超声异常680人,异常检出率79.16%。检出异常排前五位依次为脂肪肝45.75%、肝囊肿26.31%、胆囊结石13.15%、胆囊壁胆固醇结晶5.01%、胆囊息肉样病变3.84%。肝囊肿检出率男性为33.15%、女性为21.4%,男性和女性的差异有统计学意义(P<0.05)。胆囊壁胆固醇结晶检出率男性7.24%、女性3.4%,男性和女性的差异有统计学意义(P<0.05),75岁以下老人胆囊结石检出率为11.29%、75岁及以上老人为23.31%,差异有统计学意义(P<0.05)。结论:上海芷江西路社区老人腹部超声检出肝胆疾病较多,定期检查可监测此类慢性疾病的变化情况,为疾病的管理及进一步诊治提供依据,具有及早发现肿瘤等疾病的价值。Objective:To analyze the abdominal ultrasound results of the elderly people over 65 years old in the community,and to understand the abnormal ultrasound of the elderly people in the community.Methods:The abdominal ultrasound results of 859 elderly people over 65 years old from September to December 2022 were retrospectively analyzed,including 359 males and 500 females,with an average age of(70.98±4.80)years.Results:In 859 physical examinations 680 cases of abnormalities were detected,with a total detection rate of 79.16%.The top five abnormalities were fatty liver(45.75%),liver cyst(26.31%),gallbladder stone(13.15%),cholesterol crystallization in gallbladder wall(5.01%)and gallbladder polypoid lesions(3.84%).The detection rate of liver cyst was 33.15%in males and 21.4%in females,and the difference in males and females was statistically significant(P<0.05).The detection rate of cholesterol crystallization in gallbladder wall was 7.24%in males and 3.4%in females,and the difference in males and females was statistically significant(P<0.05).The detection rate of gallbladder stone was 11.29%in the elderly under 75 years old and 23.31%in the elderly over 75 years old,and the difference was statistically significant(P<0.05).Conclusion:The elderly abdominal ultrasound examination of hepatobiliary diseases is detected more in Zhijiangxilu Community,regular examination can monitor the changes of such chronic diseases to provide a basis for the management of diseases,which has the value in the early detection of tumors and other diseases.

关 键 词：腹部超声检查 65岁以上老人 社区 

分 类 号：R445.1[医药卫生—影像医学与核医学]