中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
7期
14-15
,共2页
胆结石%胆囊切除术%胆汁反流%胆汁反流指数
膽結石%膽囊切除術%膽汁反流%膽汁反流指數
담결석%담낭절제술%담즙반류%담즙반류지수
Gallstones%Cholecystectomy%Bile reflux%Bile reflux index (BRI)
目的：观察胆结石行胆囊切除术后胆汁反流对患者胃黏膜的损害,分析胆囊切除术与胆汁反流的关系。方法选取胃镜下诊断为胆汁反流患者92例为研究病例,观察组56例为胆结石行胆囊切除术后,对照组36例无胆结石及胆囊手术史,对研究病例的胆汁反流指数(bile reflux index, BRI)进行分析。结果观察组和对照组病例胆汁反流指数评分比较,观察组56例中,11例BRI<14,45例BRI>14；对照组36例中,26例BRI<14,10例BRI>14,差异有统计学意义(χ2=25.19, P<0.01)。结论胆囊切除术后患者,更容易发生胆汁反流,对胃黏膜的损害更严重。
目的：觀察膽結石行膽囊切除術後膽汁反流對患者胃黏膜的損害,分析膽囊切除術與膽汁反流的關繫。方法選取胃鏡下診斷為膽汁反流患者92例為研究病例,觀察組56例為膽結石行膽囊切除術後,對照組36例無膽結石及膽囊手術史,對研究病例的膽汁反流指數(bile reflux index, BRI)進行分析。結果觀察組和對照組病例膽汁反流指數評分比較,觀察組56例中,11例BRI<14,45例BRI>14；對照組36例中,26例BRI<14,10例BRI>14,差異有統計學意義(χ2=25.19, P<0.01)。結論膽囊切除術後患者,更容易髮生膽汁反流,對胃黏膜的損害更嚴重。
목적：관찰담결석행담낭절제술후담즙반류대환자위점막적손해,분석담낭절제술여담즙반류적관계。방법선취위경하진단위담즙반류환자92례위연구병례,관찰조56례위담결석행담낭절제술후,대조조36례무담결석급담낭수술사,대연구병례적담즙반류지수(bile reflux index, BRI)진행분석。결과관찰조화대조조병례담즙반류지수평분비교,관찰조56례중,11례BRI<14,45례BRI>14；대조조36례중,26례BRI<14,10례BRI>14,차이유통계학의의(χ2=25.19, P<0.01)。결론담낭절제술후환자,경용역발생담즙반류,대위점막적손해경엄중。
Objective To observe damage of bile reflux for cases’gastric mucosa after gallstones caused cholecystectomy, analyze the relationship between cholecystectomy and bile reflux. Methods Selected 92 cases to diagnose bile reflux in gastroscope examination were the observation, 56 cases with the history of gallstones caused cholecystectomy were observation group, 36 cases without gallstones or cholecystectom were the control group, to analyzedate of the observation bile reflux index (bile reflux index BRI). Results In the observation group, 56 cases, 11 cases BRI<14 and 45 cases BRI>;in control group cases 36 cases, 26 cases BRI<14 and 10 casess BRI>14, to compare bile reflux index grade , there was significant difference in two groups (chisquareχ2=25.19, P<0.01). Conclusion Cases with gallstones caused cholecystectomy, bile reflux is more likely to occur, damage to the gastric mucosa is more serious.
