Hojs R
Department of Nephrology and Haemodialysis, Teaching Hospital of Maribor, Slovenia.
Am J Nephrol. 1995;15(1):15-7. doi: 10.1159/000168796.
Gallstones are quite prevalent in western countries (10-20% of adult population), but there are very few data about the prevalence of cholecystolithiasis in haemodialysis (HD) patients. In our study, we found--with real-time ultrasound--a prevalence of gallstones of 16% in patients with end-stage renal disease (ESRD) treated with HD which is similar to the prevalence in a non-uraemic control group matched for age and sex. In most of our HD patients, cholecystolithiasis was asymptomatic. HD patients with cholecystolithiasis were statistically significantly older than patients without gallstones. We found no differences in sex or duration of HD treatment in patients with and without cholecystolithiasis. The prevalence of cholecytolithiasis in patients with ESRD on HD is similar to that of a normal population though some data suggested a higher prevalence in HD patients.
胆结石在西方国家相当普遍(占成年人口的10%-20%),但关于血液透析(HD)患者胆囊结石病患病率的数据却非常少。在我们的研究中,通过实时超声检查发现,接受HD治疗的终末期肾病(ESRD)患者中胆结石的患病率为16%,这与年龄和性别相匹配的非尿毒症对照组的患病率相似。在我们的大多数HD患者中,胆囊结石病是无症状的。患有胆囊结石病的HD患者在统计学上显著比没有胆结石的患者年龄更大。我们发现有和没有胆囊结石病的患者在性别或HD治疗时长方面没有差异。接受HD治疗的ESRD患者中胆囊结石病的患病率与正常人群相似,尽管一些数据表明HD患者中的患病率更高。