中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2011年
9期
741-744
,共4页
乔铁%马瑞红%冯禹阳%王兴强%王小锋%蔡洪英%罗小兵
喬鐵%馬瑞紅%馮禹暘%王興彊%王小鋒%蔡洪英%囉小兵
교철%마서홍%풍우양%왕흥강%왕소봉%채홍영%라소병
胆囊壁间结石%胆囊腔内结石%胆色素性结石%胆固醇性结石%混合性结石%华支睾吸虫卵
膽囊壁間結石%膽囊腔內結石%膽色素性結石%膽固醇性結石%混閤性結石%華支睪吸蟲卵
담낭벽간결석%담낭강내결석%담색소성결석%담고순성결석%혼합성결석%화지고흡충란
Intramural Gallstones%Intraluminal Gallstones%Pigment Gallstones%Cholesterol Gallstones%Mixed Gallstones%Clonorchis sinensis eggs
目的 探讨胆囊壁间结石与胆囊腔内结石的关系。方法 对2009年2月至2009年8月我院普外科实施内镜保胆取石手术的116例胆囊腔内结石合并胆囊壁间结石患者的结石标本与同期171例单纯胆囊腔内结石标本进行对照研究，分析其临床特点并用FT-1R光谱分析和磨碎镜检的方法分析结石。结果116例胆囊腔内结石与胆囊壁间结石结石类型符合率为97.4％，均以胆色素性结石和混合性结石为主。结石磨碎镜检结果显示，116例胆囊腔内结石与胆囊壁间结石中华支睾吸虫卵检出的符合率为98.3％，且胆色素性结石与混合性结石明显高于胆固醇性结石。116例合并胆囊壁间结石的腔内结石标本与171例单纯腔内结石标本结石类型比较结果显示，前者胆色素性结石的比例高于后者，而华支睾吸虫卵检出率两组差异无统计学意义(P＞0.05)。结论胆囊壁间结石主要是胆色素性或混合性结石。胆囊壁间结石与胆囊腔内结石具有同源性。
目的 探討膽囊壁間結石與膽囊腔內結石的關繫。方法 對2009年2月至2009年8月我院普外科實施內鏡保膽取石手術的116例膽囊腔內結石閤併膽囊壁間結石患者的結石標本與同期171例單純膽囊腔內結石標本進行對照研究，分析其臨床特點併用FT-1R光譜分析和磨碎鏡檢的方法分析結石。結果116例膽囊腔內結石與膽囊壁間結石結石類型符閤率為97.4％，均以膽色素性結石和混閤性結石為主。結石磨碎鏡檢結果顯示，116例膽囊腔內結石與膽囊壁間結石中華支睪吸蟲卵檢齣的符閤率為98.3％，且膽色素性結石與混閤性結石明顯高于膽固醇性結石。116例閤併膽囊壁間結石的腔內結石標本與171例單純腔內結石標本結石類型比較結果顯示，前者膽色素性結石的比例高于後者，而華支睪吸蟲卵檢齣率兩組差異無統計學意義(P＞0.05)。結論膽囊壁間結石主要是膽色素性或混閤性結石。膽囊壁間結石與膽囊腔內結石具有同源性。
목적 탐토담낭벽간결석여담낭강내결석적관계。방법 대2009년2월지2009년8월아원보외과실시내경보담취석수술적116례담낭강내결석합병담낭벽간결석환자적결석표본여동기171례단순담낭강내결석표본진행대조연구，분석기림상특점병용FT-1R광보분석화마쇄경검적방법분석결석。결과116례담낭강내결석여담낭벽간결석결석류형부합솔위97.4％，균이담색소성결석화혼합성결석위주。결석마쇄경검결과현시，116례담낭강내결석여담낭벽간결석중화지고흡충란검출적부합솔위98.3％，차담색소성결석여혼합성결석명현고우담고순성결석。116례합병담낭벽간결석적강내결석표본여171례단순강내결석표본결석류형비교결과현시，전자담색소성결석적비례고우후자，이화지고흡충란검출솔량조차이무통계학의의(P＞0.05)。결론담낭벽간결석주요시담색소성혹혼합성결석。담낭벽간결석여담낭강내결석구유동원성。
Objective To investigate the relationship between intramural gallstones and intraluminal gallstones. Methods In this present study, the control study was applied to analysis on the gallstones from 116 cholecystolithiasis patients with intramural gallstones as well as intraluminal gallstones. All the patients were from the general surgery department and accepted gallbladder-preserving cholecystolithotomy during 2009.02-2009.08. Meanwhile, 171 patients with intraluminal gallstones were investigated the clinical traits; and gallstones from them were analyzed with FT-IR and microsopic examination. Results The results showed the coincidence rate of stone type was 97.4％, and it was mainly pigment gallstones and mixed gallstones in 116 cases; the coincident detection rate of clonorchis sinensis eggs was 98.3 ％, and it was much higher in the pigment gallstones and mixed gallstones than that in the cholesterol gallstones. The ratio of pigment gallstones from the 116 patients group was higher than the 171 patients group, and the detection rate of C. sinensis eggs of the two groups had no statistical difference (P＞0.05). Conclusions The stone type of intramural gallstones was mainly pigment gallstones and mixed gallstones. Intramural gallstones and intraluminal gallstones were homologous.
