Etspüler H K, Asper R, Wild J A, Hardmeier T
Institut für Pathologie, Diagnostische Strahlentherapie und Radiotherapie, Universitätsspital Zürich.
Ther Umsch. 1993 Aug;50(8):535-40.
In our postmortem examinations of patients in the canton of Thurgau from May 1989 through December 1991 we found a cholelithiasis or a condition after a cholecystectomy of gallstones in 44% of the women and 23% of the men. While gallstones were found in only 11% of the women and 7% of the men up to age 50, half of all women and every third man in the age group over 90 had gallstones. Among the gallstone carriers, 8% of the women and 2.5% of the men had developed a gall bladder--gall duct carcinoma. Where a liver cirrhosis was present, gallstones occurred at nearly the same rate in both sexes (45%/44%). 33% of the persons with gallstones had a solitary stone, and 31% had more than 10 stones. More than a third of all stones had a cholesterol content of more than 80%, and every seventh stone had a bilirubin content higher than 80%. The calcium content of more than 40% of the stones exceeded 5%. The examination for bilirubin can be easily performed with some exercise by means of the bilirubin test field on the urine sticks supplied by the Boehringer Mannheim company.
在1989年5月至1991年12月期间，我们对图尔高州的患者进行了尸检，发现44%的女性和23%的男性患有胆结石或胆囊切除术后的结石相关病症。在50岁之前，只有11%的女性和7%的男性发现有胆结石，但在90岁以上的年龄组中，一半的女性和三分之一的男性患有胆结石。在胆结石携带者中，8%的女性和2.5%的男性发生了胆囊 - 胆管癌。在存在肝硬化的情况下，胆结石在两性中的发生率几乎相同（45%/44%）。33%的胆结石患者有单个结石，31%的患者有10个以上的结石。超过三分之一的结石胆固醇含量超过80%，每七个结石中有一个胆红素含量高于80%。超过40%的结石钙含量超过5%。通过勃林格殷格翰公司提供尿棒上的胆红素测试区域，经过一些练习，胆红素检测很容易进行。
