胆石症患者的胆固醇胆石症。
Cholesterol Gallstone among Patients with Cholelithiasis Admitted to the Department of Surgery of a Tertiary Care Center.
机构信息
Department of Surgery, Janaki Medical College and Teaching Hospital, Janakpur Dham, Dhanusha, Nepal.
Department of Anatomy, Janaki Medical College and Teaching Hospital, Janakpur Dham, Dhanusha, Nepal.
出版信息
JNMA J Nepal Med Assoc. 2023 Dec 1;61(268):915-918. doi: 10.31729/jnma.8362.
INTRODUCTION
Gallstone is one of the most common pathological conditions found mostly in females. The incidence of cholesterol gallstones is developing higher nowadays which is increasing the burden of cost in society. This study aimed to find out the prevalence of cholesterol gallstones among patients with cholelithiasis admitted to the Department of Surgery of a tertiary care centre.
METHODS
A descriptive cross-sectional study was conducted among patients with cholelithiasis who presented in the Department of Surgery of tertiary care centre for cholecystectomy (laparoscopic or open) from 23 December 2022 to 22 September 2023 after obtaining ethical approval from the Institutional Review Committee. Patients who were diagnosed by use of abdominal ultrasound or CT scan were included. Those patients with gallbladder polyps, cholangitis, and gallbladder tumours were excluded from the study. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval.
RESULTS
Among 190 patients, the prevalence of cholesterol gallstones was seen in 85 (44.74%) (37.67-51.81, 95% Confidence Interval). The female to male ratio was 6.72:1.
CONCLUSIONS
The prevalence of cholesterol gallstones was found to be higher as compared to other studies done in similar settings.
KEYWORDS
cholesterol; gallbladder; gallstone; prevalence.
简介
胆结石是最常见的病理情况之一，主要发生在女性中。如今，胆固醇性胆结石的发病率越来越高，这增加了社会的成本负担。本研究旨在探讨在一家三级护理中心外科就诊的胆石症患者中胆固醇性胆结石的患病率。
方法
本研究是一项描述性的横断面研究，于 2022 年 12 月 23 日至 2023 年 9 月 22 日期间，在一家三级护理中心外科就诊的胆石症患者中进行，这些患者因胆囊切除术（腹腔镜或开放性）而入院，研究获得了机构审查委员会的伦理批准。研究纳入了经腹部超声或 CT 扫描诊断为胆结石的患者。那些患有胆囊息肉、胆管炎和胆囊肿瘤的患者被排除在研究之外。采用便利抽样方法。点估计值是在 95%置信区间计算的。
结果
在 190 名患者中，85 名（44.74%）（37.67-51.81，95%置信区间）患有胆固醇性胆结石。女性与男性的比例为 6.72:1。
结论
与在类似环境中进行的其他研究相比，胆固醇性胆结石的患病率较高。
关键词
胆固醇；胆囊；胆结石；患病率。
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