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目的:对胆囊结石伴慢性胆囊炎与肝硬化的相关性进行分析。方法:自2014年10月至2016年2月期间在我院诊断的肝硬化患者200例作为观察组,选择同一时间段来我院检查无肝硬化患者200例作为对照组;分析两组患者胆囊结石伴慢性胆囊炎的发病率、胆囊结石伴慢性胆囊炎的发病率与肝硬化严重程度的关系、以及影像学检查结果在各组的差异。结果:观察组胆囊结石伴慢性胆囊炎的发病率为;明显高于对照组发病率,两组差异显著有意义,P值小于0.05。胆囊结石伴慢性胆囊炎的发病率越高,肝硬化的病情程度越严重;观察组中肝硬化患者胆囊壁厚度大于4mm的发病率明显高于胆囊壁厚度小于4mm者,差异有统计学意义P值大于0.05。结论:肝硬化患者中胆囊结石伴慢性胆囊炎的发病率高,而且胆囊结石伴慢性胆囊炎的发病率与肝硬化的功能受损严重程度呈正相关,胆囊壁增厚是胆囊结石发生的危险因素。
Objective: To analyze the correlation between gallstone and chronic cholecystitis and cirrhosis. Methods: 200 patients with cirrhosis diagnosed in our hospital from October 2014 to February 2016 were selected as the observation group. 200 patients without cirrhosis in our hospital were selected as the control group in the same time period. The gallbladder The incidence of stone associated with chronic cholecystitis, the relationship between the incidence of gallstone and chronic cholecystitis and the severity of liver cirrhosis, as well as the imaging findings in each group differences. Results: The incidence of gallstones and chronic cholecystitis in observation group was significantly higher than that in control group. There was significant difference between the two groups with P value less than 0.05. The incidence of gallbladder stones with chronic cholecystitis, the more serious the severity of cirrhosis; observation group cirrhosis patients with gallbladder wall thickness greater than 4mm was significantly higher than the gallbladder wall thickness less than 4mm, the difference was statistically significant P Value is greater than 0.05. Conclusions: The incidence of gallstone and chronic cholecystitis is high in patients with cirrhosis, and the incidence of gallstone and chronic cholecystitis is positively correlated with the severity of liver cirrhosis. The gallbladder wall thickening is the risk factor of gallstone .