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目的 :探讨胆囊结石与肝脏疾病的相关性。方法 :对比分析不同病种、不同肝功能 Child- Pugh分级以及不同性别肝病患者胆囊结石阳性率的差异。结果 :肝病患者胆囊结石阳性率 :血吸虫性肝硬化 (2 6.4 % )与脂肪肝组(2 8.7% )明显高于非肝脏疾病组 (14 .6% ) (P<0 .0 1) ,非血吸虫性肝硬化 (16.2 % )、肝囊性病变 (18.9% )及肝实质性占位性病变组 (14 .7% )与非肝脏疾病组无显著差异 (P>0 .0 5 ) ;Child- Pugh A级 (15 .0 % )、B级 (2 2 .5 % )及 C级 (3 1.3 % )间有非常显著性差异 (P<0 .0 1) ;男性 (2 2 .5 % )与女性 (2 3 .4 % )之间无显著性差异 (P>0 .0 5 )。结论 :血吸虫性肝硬化与脂肪肝患者为胆囊结石患病的高危人群 ;肝病患者胆囊结石患病率与肝功能损害严重程度呈正相关 ;肝病患者胆囊结石患病率无显著性别差异。
Objective: To investigate the correlation between gallstone and liver disease. Methods: The differences of positive rates of gallstone in different types of patients, Child-Pugh grading with different liver function, and gender-specific liver diseases were analyzed. Results: The positive rate of gallstone in patients with liver disease was significantly higher than that in non-liver disease group (14.6%) (P <0.01) Schistosomiasis cirrhosis (16.2%), hepatic cystic lesions (18.9%) and hepatic parenchymal lesions (14.7%) had no significant difference from non-hepatic diseases (P> 0.05); Child - Pugh class A (15.0%), class B (22.5%) and class C (31.3%) had significant difference (P <0.01); males (25.5% ) And female (23.4%) had no significant difference (P> 0.05). Conclusions: The schistosomiasis cirrhosis and fatty liver patients are at high risk of gallstone disease. The prevalence of gallstone in liver disease is positively correlated with the severity of liver dysfunction. There is no significant gender difference in the incidence of gallstone disease in patients with liver disease.