中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2014年
3期
208-211
,共4页
乔铁%马瑞红%罗小兵%杨柳青%罗振亮%郑培明
喬鐵%馬瑞紅%囉小兵%楊柳青%囉振亮%鄭培明
교철%마서홍%라소병%양류청%라진량%정배명
胆囊结石%结石类型%光谱分析%扫描电镜%X-射线能谱
膽囊結石%結石類型%光譜分析%掃描電鏡%X-射線能譜
담낭결석%결석류형%광보분석%소묘전경%X-사선능보
Gallbladder stones%Stone type%Spectral analysis%Scanning electronic microscopy%X-ray energy spectrometer
目的 对胆囊结石进行系统性分类研究,为研究不同类型胆囊结石的成石机制提供理论依据.方法 对2009年1月至2013年5月来我院就诊的925例胆囊结石患者进行研究.采用红外光谱分析结石的物质成分,扫描电镜观察结石物质成分的微观结构及分布情况,X-射线能谱仪分析结石的元素组成及分布情况,从而将结石分类.结果 将胆囊结石分为八大类十余种亚型,分别是胆固醇类、胆色素类、碳酸钙类、磷酸盐类、硬脂酸钙类、蛋白类、胱氨酸及混合型结石,例数分别为334、246、167、14、11、3、1、149.其中两种或两种以上成分混合为混合型结石,已发现有11种亚型.结论 胆囊结石的系统性分类结果提示,各型结石的红外光谱图、微观结构、元素成分及分布情况各具特点,为研究胆囊结石的成石机制提供重要依据.
目的 對膽囊結石進行繫統性分類研究,為研究不同類型膽囊結石的成石機製提供理論依據.方法 對2009年1月至2013年5月來我院就診的925例膽囊結石患者進行研究.採用紅外光譜分析結石的物質成分,掃描電鏡觀察結石物質成分的微觀結構及分佈情況,X-射線能譜儀分析結石的元素組成及分佈情況,從而將結石分類.結果 將膽囊結石分為八大類十餘種亞型,分彆是膽固醇類、膽色素類、碳痠鈣類、燐痠鹽類、硬脂痠鈣類、蛋白類、胱氨痠及混閤型結石,例數分彆為334、246、167、14、11、3、1、149.其中兩種或兩種以上成分混閤為混閤型結石,已髮現有11種亞型.結論 膽囊結石的繫統性分類結果提示,各型結石的紅外光譜圖、微觀結構、元素成分及分佈情況各具特點,為研究膽囊結石的成石機製提供重要依據.
목적 대담낭결석진행계통성분류연구,위연구불동류형담낭결석적성석궤제제공이론의거.방법 대2009년1월지2013년5월래아원취진적925례담낭결석환자진행연구.채용홍외광보분석결석적물질성분,소묘전경관찰결석물질성분적미관결구급분포정황,X-사선능보의분석결석적원소조성급분포정황,종이장결석분류.결과 장담낭결석분위팔대류십여충아형,분별시담고순류、담색소류、탄산개류、린산염류、경지산개류、단백류、광안산급혼합형결석,례수분별위334、246、167、14、11、3、1、149.기중량충혹량충이상성분혼합위혼합형결석,이발현유11충아형.결론 담낭결석적계통성분류결과제시,각형결석적홍외광보도、미관결구、원소성분급분포정황각구특점,위연구담낭결석적성석궤제제공중요의거.
Objective To develop a classification of gallbladder stones,to analyze the clinical characteristics of each type of stone and to provide a theoretical basis for the formation of different types of gallbladder stones.Method 925 consecutive patients with gallbladder stones were enrolled and their gallstones were studied.The material composition of the gallbladder stones was analyzed using fourier transform infrared spectroscopy and the distribution and microstructure of the material components were observed using scanning electron microscopy.The composition and distribution of the elements were analyzed by an X-ray energy spectrometer.Gallbladder stones were classified accordingly.Results The gallbladder stones were classified into 8 types and more than ten subtypes,including cholesterol stones (n =334),pigment stones (n =246),calcium carbonate stones (n =167),phosphate stones (n =14),calcium stearate stones (n =11),protein stones (n =3),cystine stones (n =1) and mixed stones (n =149).Mixed stones were those stones with two or more than two kinds of material components and the content of each component was similar.A total of 11 subtypes of mixed stones were found in this study.Conclusion The systematic classification of gallbladder stones indicated that different types of stones had different characteristics in terms of infrared spectrogram,microstructure,elemental composition and distribution,thus providing an important basis for the mechanistic study of gallbladder stones.
