Aziz M R, Wandwi W B
Department of Surgery, Muhimbili University College of Health Sciences, Muhimbili Medical Centre, Dar es Salaam.
Cent Afr J Med. 1995 Oct;41(10):308-12.
In a five year review, there were 30 cases of cholelithiasis treated at the Muhimbili Medical Centre, Dar es Salaam, Tanzania. The male to female ratio was 1:3, and the peak age for cholelithiasis was in the 30 to 49 years age group. Right upper quadrant abdominal pain was the commonest presenting symptom (100 pc), and cholecystectomy was performed in all patients. Local complications of gall stones were recorded in seven patients (23.3 pc) and these included; gall bladder empyema, pericholecysteal abscess, CBD stone, gall bladder adenoma, gall bladder mucocele, and two patients had acute cholecystis. Stones were multiple in 90 pc of patients, and on macroscopic classification the ratio of cholesterol to pigment stones was 2:1. There was no death in this series of 30 patients.
在一项为期五年的回顾中，坦桑尼亚达累斯萨拉姆的穆希姆比利医疗中心共治疗了30例胆石症患者。男女比例为1:3，胆石症的发病高峰年龄在30至49岁年龄组。右上腹疼痛是最常见的症状（100%），所有患者均接受了胆囊切除术。7例患者（23.3%）出现了胆结石的局部并发症，包括：胆囊积脓、胆囊周围脓肿、胆总管结石、胆囊腺瘤、胆囊黏液囊肿，还有2例患者患有急性胆囊炎。90%的患者结石为多发，从宏观分类来看，胆固醇结石与色素结石的比例为2:1。这30例患者中无死亡病例。
