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目的探讨乙肝肝硬化患者胆囊结石发病率相关因素。方法 75例乙肝肝硬化患者,包括38例肝硬化胆囊结石患者(结石组)和37例无胆囊结石患者(对照组),分析两组间年龄、性别、病程、Child-Pugh分级、高密度脂蛋白胆固醇(HDL-C)、总胆红素(TBil)含量、胆囊壁厚度的差异。结果肝硬化患者合并胆囊结石与性别无关,而年龄越大、病程越长、Child-Pugh分级越严重都会增加胆囊结石的发病率;同时,HDL-C降低、TBil增高、胆囊壁增厚与胆囊结石的发生密切相关。结论肝硬化合并胆囊结石危险因素多,应尽早发现治疗。
Objective To investigate the incidence of gallstone in patients with cirrhosis of hepatitis B related factors. Methods Seventy-five patients with hepatitis B cirrhosis, including 38 patients with cirrhosis gallstones (stone group) and 37 patients without gallbladder stones (control group), were analyzed for age, sex, course of disease, Child-Pugh classification, (HDL-C), total bilirubin (TBil) content, gallbladder wall thickness differences. Results The patients with cirrhosis complicated by gallbladder stones had no relationship with gender. The older the patients, the longer the course of disease and the more severe the Child-Pugh grading, the incidence of gallstone was increased. Meanwhile, the HDL-C decreased, TBil increased, The occurrence of stones is closely related. Conclusion There are many risk factors for cirrhosis and gallstone disease. Treatment should be found as soon as possible.