中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
22期
21-22
,共2页
张国欣%任贤英%李静%甄鹏超
張國訢%任賢英%李靜%甄鵬超
장국흔%임현영%리정%견붕초
急性重症胆管炎%病因%胆管结石%农村病人
急性重癥膽管炎%病因%膽管結石%農村病人
급성중증담관염%병인%담관결석%농촌병인
Acute cholangitis of severe type%Etiology%Gallstones%Rural patients
目的：探讨急性重症胆管炎的病因。方法回顾性分析2001年6月-2012年6月，11年间新乐市中医医院住院治疗的84例ACST农村病人的临床资料。结果84例病人胆管结石引起的ACST占46.4%，胆管狭窄占19.1%，胆道手术占16.7%、胆道肿瘤占10.7%。胆道手术引起的ACST有上升趋势，差异有统计学意义(11.7%vs.20.0%，P=0.027<0.05)。胆道肿瘤引起的ACST中男性比例明显高于女性，差异有统计学意义(14.2%vs.3.5%，P<0.001)。老年ACST病人中胆管结石所占比例高于非老年，差异有统计学意义(72.4%vs.32.7%，P<0.001)，胆道手术引起的ACST以非老年为高，差异有统计学意义(P<0.001)。结论胆管结石是ACST最常见病因；在老年ACST中其比例更高；胆道手术引起的ACST呈上升趋势；胆道肿瘤引起的ACST多见于男性；胆道手术引起的ACST多见于中青年病人。
目的：探討急性重癥膽管炎的病因。方法迴顧性分析2001年6月-2012年6月，11年間新樂市中醫醫院住院治療的84例ACST農村病人的臨床資料。結果84例病人膽管結石引起的ACST佔46.4%，膽管狹窄佔19.1%，膽道手術佔16.7%、膽道腫瘤佔10.7%。膽道手術引起的ACST有上升趨勢，差異有統計學意義(11.7%vs.20.0%，P=0.027<0.05)。膽道腫瘤引起的ACST中男性比例明顯高于女性，差異有統計學意義(14.2%vs.3.5%，P<0.001)。老年ACST病人中膽管結石所佔比例高于非老年，差異有統計學意義(72.4%vs.32.7%，P<0.001)，膽道手術引起的ACST以非老年為高，差異有統計學意義(P<0.001)。結論膽管結石是ACST最常見病因；在老年ACST中其比例更高；膽道手術引起的ACST呈上升趨勢；膽道腫瘤引起的ACST多見于男性；膽道手術引起的ACST多見于中青年病人。
목적：탐토급성중증담관염적병인。방법회고성분석2001년6월-2012년6월，11년간신악시중의의원주원치료적84례ACST농촌병인적림상자료。결과84례병인담관결석인기적ACST점46.4%，담관협착점19.1%，담도수술점16.7%、담도종류점10.7%。담도수술인기적ACST유상승추세，차이유통계학의의(11.7%vs.20.0%，P=0.027<0.05)。담도종류인기적ACST중남성비례명현고우녀성，차이유통계학의의(14.2%vs.3.5%，P<0.001)。노년ACST병인중담관결석소점비례고우비노년，차이유통계학의의(72.4%vs.32.7%，P<0.001)，담도수술인기적ACST이비노년위고，차이유통계학의의(P<0.001)。결론담관결석시ACST최상견병인；재노년ACST중기비례경고；담도수술인기적ACST정상승추세；담도종류인기적ACST다견우남성；담도수술인기적ACST다견우중청년병인。
Objective To analyze the etiology of acute cholangitis of severe type. Methods The clinical data of 84 cases of ACST hospitalized from June 2001 to June 2012 at Xinle city in hebei province hospital of traditional Chinese medicine were analyzed retrospectively. Results Gallstones ACST, biliary stricture ACST, biliary surgery ACST and bile duct cancer ACST was accounted for (46.4%), (19.1%), (16.7%), (10.7%) respectively. There was an ascending trend in biliary surgery ACST(11.7% vs.20.0%,P=0.027<0.05). Male was significantly more than female in bile duct cancer ACST (14.2% vs.3.5%,P<0.001). The proportion of Gallstones ACST in the elderly was higher than that in the non-elderly (72.4% vs.32.7%,P<0.001). The proportion of biliary surgery ACST in the non-elderly was higher than that in the elderly (P<0.001). Conclusion Gallstones factor is the most common etiology of ACST. The proportion of Gallstones ACST in the elderly is higher than that in the non-elderly. With time changed, there is an ascending trend in biliary surgery ACST. Bile duct cancer ACST is mainly in male. The cases of biliary surgery ACST is mainly in the non-elderly.
