论文部分内容阅读
目的分析肝硬化合并胆囊结石的临床特点及相关因素。方法选取医院2012年8月-2014年8月收治肝硬化患者134例,其中观察组为35例肝硬化合并胆囊结石患者,对照组为99例肝硬化患者,科学全面的回顾性分析患者临床资料。结果肝硬化合并胆囊结石的发生率为26.1%;患者的年龄>60岁,门静脉内径>12mm、胆囊壁厚度>4mm、血浆白蛋白<30g/L的患者并发胆囊结石概率较高;肝硬化合并胆囊结石患者的病死率较无结石的单纯肝硬化患者高。结论在临床中,肝硬化合并胆囊结石的发生率较高且其临床体征不明显,多与患者的年龄、门静脉内径、胆囊壁厚度及血浆白蛋白水平等因素密切相关,应高度重视肝硬化合并胆囊结石患者的治疗,做到及时发现,准确治疗。
Objective To analyze the clinical characteristics and related factors of cirrhosis complicated with gallstone. Methods A total of 134 patients with cirrhosis were enrolled from August 2012 to August 2014 in our hospital, including 35 patients with cirrhosis and gallbladder stones in the observation group and 99 patients with cirrhosis in the control group. The clinical data of the patients were comprehensively and retrospectively analyzed . Results The incidence of cirrhosis with gallstones was 26.1%. The patient’s age was 60 years. The diameter of portal vein was> 12mm. The thickness of gallbladder wall was> 4mm. Patients with plasma albumin <30g / L had a higher risk of gallstones. Patients with gallstone disease mortality than non-stone cirrhosis in patients with high. Conclusions In clinic, the incidence of cirrhosis complicated with gallstones is high and the clinical signs are not obvious, which is closely related to the age, the diameter of the portal vein, the thickness of the gallbladder wall and the level of plasma albumin. So liver cirrhosis should be highly valued Gallstone patients with treatment, so that timely detection, accurate treatment.