CAJ | 학술논문

目的探讨山东省胶东地区近10年来(1998-2008年)胆石病构成及其变化情况.方法采用回顾性调查的方法,收集青岛市立医院1998-2008年10年期间住院并经手术证实的2899例胆石病病人的临床资料,经计算机整理后用SPSS 12.0软件包进行统计分析,并将统计结果与1991年的资料进行比较分析.结果胆石病的男女性别构成比2008年组与1991年组无统计学差异;但2008年组不同部位胆石病的男女比例明显不同,单纯胆囊结石、肝内胆管结石病人在性别上有统计学差异(P值均＜0.05).单纯胆囊结石病发病的高峰年龄为40～69岁;胆囊合并胆总管结石以及单纯胆总管结石的发病高峰年龄均为70岁以上;肝内胆管结石的发病高峰年龄为40～59岁.结石部位之间比较,年龄分布差异有统计学意义(P值均＜0.01);2008年组年龄分布与1991年组统计资料相比明显后移.单纯胆囊结石所占比例最多,其次是单纯胆总管结石.与1991年组相比,2008年组胆囊结石的构成比例显著升高;胆总管结石的构成比例下降;胆囊结石的比例随年龄增长而增加.胆囊合并胆总管结石和肝内胆管结石的构成比例与1991年组比较无差异.结论山东省胶东地区近10年来(1998-2008年)胆石病构成及其变化情况与1991年的统计资料比较,女性单纯胆囊结石及肝内胆管结石构成比例要高于男性;老年胆石病人明显增加;胆囊结石的构成比例明显增高.
목적 탐토산동성효동지구근10년래(1998-2008년)담석병구성급기변화정황.방법 채용회고성조사적방법,수집청도시립의원1998-2008년10년기간주원병경수술증실적2899례담석병병인적림상자료,경계산궤정리후용SPSS 12.0연건포진행통계분석,병장통계결과여1991년적자료진행비교분석.결과 담석병적남녀성별구성비2008년조여1991년조무통계학차이;단2008년조불동부위담석병적남녀비례명현불동,단순담낭결석、간내담관결석병인재성별상유통계학차이(P치균＜0.05).단순담낭결석병발병적고봉년령위40～69세;담낭합병담총관결석이급단순담총관결석적발병고봉년령균위70세이상;간내담관결석적발병고봉년령위40～59세.결석부위지간비교,년령분포차이유통계학의의(P치균＜0.01);2008년조년령분포여1991년조통계자료상비명현후이.단순담낭결석소점비례최다,기차시단순담총관결석.여1991년조상비,2008년조담낭결석적구성비례현저승고;담총관결석적구성비례하강;담낭결석적비례수년령증장이증가.담낭합병담총관결석화간내담관결석적구성비례여1991년조비교무차이.결론 산동성효동지구근10년래(1998-2008년)담석병구성급기변화정황여1991년적통계자료비교,녀성단순담낭결석급간내담관결석구성비례요고우남성;노년담석병인명현증가;담낭결석적구성비례명현증고.
Objective To analyze the clinical features of patients with cholelithiasis treated in our hospital in the recent 10 years to explore the changing tendency of the spectrum of cholelithiasis in the Jiaodong region. Methods The clinical data of 2899 patients receiving operation for cholelithiasis in this hospital between January 1998 and January 2008 were retrospectively analyzed. The clinical parameters of sex, age and the lesion sites were reviewed. Compared with the clinical data of cholelithiasis patients in 1991, the data of the 2899 patients were statistically analyzed by SPSS 12.0 package.Results Significant differences existed in sex, e peak morbidity, and lesion sites. The ratio of male patients and female patients with cholelithiasis in differents site had obvious diversity. The constituent ratio of the female was manifestly higher than that of the male. The peak morbidity age range of cholecystolithiasis was 40 to 69. The peak age of gallbladder stones combined with common bile duct stones was 70 to 79, which was the same as that of common bile duct stones. The peak age of intrahepatic bile duct stones was 40 to 59. The constituent ratio of cholecystolithiasis was obviously higher than cholelithiasis in other sites. The incidence of cholecystolithiasis increased with age. Conclusion In the recent 10 years, female's ratio of gallbladder stones and intrahepatic stones was higher than male's.The morbidity of cholelithiasis significantly increased in aged patients. The spectrum of cholelithiasis has changed significantly.