Safer L, Bdioui F, Braham A, Ben Salem K, Soltani M S, Bchir A, Saffar H
Service d'Hépato-Gastroentérologie, Hôpital Universitaire Fattouma Bourguiba, Monastir, Tunisie.
Gastroenterol Clin Biol. 2000 Oct;24(10):883-7.
The prevalence of cholelithiasis is still unknown in Tunisia. The aim of this study was to assess the prevalence and selected risk factors of cholelithiasis
Two thousand citizens over the age of 19 in a small town in the center of Tunisia were evaluated. Following a structured interview of each subject, an ultrasound examination was performed. Height, weight and blood levels of glucose and cholesterol were determined by standard methods.
The response rate was 56% (746 women and 377 men). Of the 1123 persons evaluated, 19 had undergone previous cholecystectomy. Crude prevalence of cholelithiasis was 4% (5.4% in women and 1% in men). Typical biliary colic was the only symptom significantly associated with cholelithiasis (specificity: 97.6%). Presence of gallstones was associated with age (P=0.02), sex (P=0. 00045) and multiparity (P<0.0002). Neither body mass index, diabetes mellitus or hypercholesterolemia were risk factors.
The prevalence of cholelithiasis in central Tunisia is low. The risk factors are similar to those in occidental surveys.
突尼斯胆石症的患病率仍不清楚。本研究的目的是评估突尼斯胆石症的患病率及选定的危险因素。
对突尼斯中部一个小镇的2000名19岁以上公民进行了评估。在对每个受试者进行结构化访谈后，进行了超声检查。通过标准方法测定身高、体重以及血糖和胆固醇的血液水平。
应答率为56%（746名女性和377名男性）。在1123名接受评估的人中，19人曾接受过胆囊切除术。胆石症的粗患病率为4%（女性为5.4%，男性为1%）。典型的胆绞痛是与胆石症显著相关的唯一症状（特异性：97.6%）。胆结石的存在与年龄（P=0.02）、性别（P=0.00045）和多胎妊娠（P<0.0002）相关。体重指数、糖尿病或高胆固醇血症均不是危险因素。
突尼斯中部胆石症的患病率较低。危险因素与西方调查中的相似。
