肝内胆管结石的临床流行病学研究：8585例病例分析

Clinical epidemiological study on intrahepatic cholelithiasis: analysis of 8585 cases.

作者信息

Chen Xi-Gang, Liu Jia-Qi, Peng Min-Hao, Wang Wen-Guang, Yang Ding-Hua, Hu De-Hong, Liu Da-Yun, Deng Jian-Nin

机构信息

Department of Hepatobiliary Surgery, First Affiliated Hospital, Guangxi Medical University, Nanning 530021, China.

出版信息

Hepatobiliary Pancreat Dis Int. 2003 May;2(2):281-4.

PMID:14599985

Abstract

OBJECTIVE

To investigate the clinical epidemiology of intrahepatic cholelithiasis in Guangxi area, China.

METHODS

8585 cases of cholelithiasis proved by surgery in a period of 19 years were analyzed retrospectively. Data were collected and analyzed by computer software package PEMS.

RESULTS

Cases of intrahepatic cholelithiasis accounted for more than one third of cases of cholelithiasis treated in the same period. The prevalence of intrahepatic cholelithiasis in farmers increased from 23.4% out of all cases with gallstone in 1981-1985 to 55.8% in 1991-1999. The constituent ratio of intrahepatic cholelithiasis in males was nearly the same in females. The peak prevalence age of patients with intrahepatic cholelithiasis ranged from 31 to 40 years, and the mortality was the highest among all bile stone cases.

CONCLUSION

Intrahepatic cholelithiasis is by no means a vanishing disease, especially in rural area.

摘要

目的

探讨中国广西地区肝内胆管结石的临床流行病学特征。

方法

回顾性分析19年间经手术证实的8585例胆石症病例。采用计算机软件包PEMS收集并分析数据。

结果

肝内胆管结石病例占同期治疗胆石症病例的三分之一以上。农民中肝内胆管结石的患病率从1981 - 1985年所有胆结石病例中的23.4%上升至1991 - 1999年的55.8%。肝内胆管结石在男性与女性中的构成比几乎相同。肝内胆管结石患者的患病率高峰年龄在31至40岁之间，且在所有胆结石病例中死亡率最高。