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Pigment vs cholesterol cholelithiasis: clinical and epidemiological aspects.

作者信息

Trotman B W, Soloway R D

出版信息

Am J Dig Dis. 1975 Aug;20(8):735-40. doi: 10.1007/BF01070831.

DOI:10.1007/BF01070831
PMID:1155413
Abstract

This prospective study demonstrated that among 92 consecutive patients who underwent cholecystectomy for gallstones at an urban university hospital, 27% had pigment stones and 73% had cholesterol stones. Age, sex, and weight, but not race, were significant determinants of stone type. The mean hemoglobin, direct and total serum bilirubin, and fasting glucose concentrations were similar for each group. The presence of alcoholism, diabetes, thyroid disease, or heterozygous hemoglobinopathy did not influence stone type. The average patient with pigment stones is a lean man or woman 63 years old; in contrast the composite patient with cholesterol stones is a modestly overweight woman 43 years old.

摘要

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本文引用的文献

1
The incidence of gallstones and their correlation with other diseases.胆结石的发病率及其与其他疾病的相关性。
Ann Surg. 1952 Mar;135(3):394-405. doi: 10.1097/00000658-195203000-00011.
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Association between thyroid function and gallstone disease.甲状腺功能与胆结石疾病之间的关联。
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Treatment of choledocholithiasis in patients with liver cirrhosis. Surgical treatment or endoscopic sphincterotomy?肝硬化患者胆总管结石的治疗。外科手术治疗还是内镜括约肌切开术?
Ann Surg. 1993 Jul;218(1):68-73. doi: 10.1097/00000658-199307000-00011.
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Gallstone characteristics in Mexican Americans and non-Hispanic whites.墨西哥裔美国人与非西班牙裔白人的胆结石特征。
Dig Dis Sci. 1994 Oct;39(10):2223-8. doi: 10.1007/BF02090375.
9
Black pigment gallstones with cholesterol gallstones in the same gallbladder. 13 cases in a surgical series of 1226 patients with gallbladder stones.同一胆囊内既有黑色色素结石又有胆固醇结石。在1226例胆囊结石手术病例系列中有13例。
Dig Dis Sci. 1995 Mar;40(3):534-8. doi: 10.1007/BF02064363.
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Cholelithiasis in Taiwan. Gallstone characteristics, surgical incidence, bile lipid composition, and role of beta-glucuronidase.台湾的胆石症。胆结石特征、手术发病率、胆汁脂质成分及β-葡萄糖醛酸酶的作用。
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The epidemiology of gallbladder disease: observations in the Framingham Study.胆囊疾病的流行病学:弗明汉姆研究中的观察结果。
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Gallstones and pregnancy among 300 young women treated by cholecystectomy.300例行胆囊切除术的年轻女性中的胆结石与妊娠情况
Surg Gynecol Obstet. 1968 Nov;127(5):1067-72.
6
Pathogenesis of calcium bilirubinate gallstone: role of E. coli, beta-glucuronidase and coagulation by inorganic ions, polyelectrolytes and agitation.胆红素钙结石的发病机制:大肠杆菌、β-葡萄糖醛酸酶以及无机离子、聚电解质和搅拌在凝血过程中的作用。
Ann Surg. 1966 Jul;164(1):90-100. doi: 10.1097/00000658-196607000-00010.
7
Increased incidence of cholelithiasis in Laënnec's cirrhosis. A postmortem evaluation of pathogenesis.Laënnec肝硬化患者胆石症发病率增加。发病机制的尸检评估。
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8
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9
Biliary lipid outputs in young women with cholesterol gallstones.
Metabolism. 1974 Jan;23(1):67-73. doi: 10.1016/0026-0495(74)90105-x.
10
Gallstone disease in Sweden versus Japan. Clinical and etiologic aspects.
Am J Surg. 1973 Mar;125(3):267-72. doi: 10.1016/0002-9610(73)90039-1.