欢迎来到天天文库
浏览记录
ID:37123904
大小:510.83 KB
页数:15页
时间:2019-05-18
《门脉高压对于肝硬化患者胆囊结石发病率影响的探讨》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·中文论著摘要·门脉高压对于肝硬化患者胆囊结石发病率影响的探讨目的探讨门脉高压对肝硬化病人胆囊结石发病率的影响并做相关分析。方法回顾性分析我院2008年3月至2009年1男住院治疗的214例肝硬化患者(男117例,女97例)其中有影像学显示门脉增宽,侧支循环开放的等门脉高压表现的100名患者为观察组,其余无门脉高压表现的114名患者为对照组,两组患者均在住院期阊或入院时行空腹超声检查,凡在胆囊发现强光团反射,并伴有典型声影者即诊为胆囊结石,比较两组患者胆囊结石的发病率,分析门脉高压对肝硬化患者胆结石形成的作用;把214例肝硬化按Chi
2、ld—pugh分级分为A、B、C三组并比较各组患者的胆囊结石的发病率有无区别,结果肝硬化患者并门脉高压的患者胆囊结石发病率为32%,对照组为18%。肝硬化并门脉高压与对照组相比有明显差异(p,而且胆囊结石的发病率随年龄增加而增高,年龄61岁以上组患者与年龄小于50岁组患者相比胆囊结石的发病率明显升高(P<0.05),且各年龄组患者肝硬化合并门脉高压组患者与对照组相比胆囊结石的发病率明显升高;Child-pugh分级A级发病率为12.82%,B级为15。49%,C级为35.58%。Child.pughB、C与Child-pu
3、ghA相比胆囊结石的发病率明显增高(P4、ivercirrhosisobjecfiveToinvestigatetheportalhypertensionfortheincidenceofgallstonesinthepatientswithlivercirrhosisandmakeclinicalanalysisMethodsWeretrospectivelyanalyzed214patients、)Iri戗llivercirrhosisfromMarch,2008toJanurary,2009,the100patientswhoseimageshowswidenedpor5、tal,collateralcirculationopenupmakeasstudypatients,andtherest114patientshavenoperformanceoftheportalhypertensionascontrolgrouppatients.Eachpatientswereassessedforgallstonesbyhepatobilliaryultrasonography.Thepatientswerefoundinthegallbladderorbiledue(1ightreflex,andthose6、谢mtypicalacousticshadowdiagnosedascholelithiasis.Comparedtwogroupsofpatientstheincidencesofcholelithiasis,analysisofportalhypertensioninpatientswithlivercirrhosistheroleofgallstoneformation.214casesoflivercirrhosisisdividedintoA,B,CaccordingtoChild—pughclassificationand7、comparedthreegroupsofpatientsineachgrouptheincidenceofgallstoneanydifference.ResultsPortalhypertensioninpatientswithlivercirrhosisandtheincidenceofgallstonsWas46%,thecontrolgroupwas18%.Cirrhosiswithportalhypertensionthereissignificantdifferencecomparedwiththecontrolgrou8、p(p
4、ivercirrhosisobjecfiveToinvestigatetheportalhypertensionfortheincidenceofgallstonesinthepatientswithlivercirrhosisandmakeclinicalanalysisMethodsWeretrospectivelyanalyzed214patients、)Iri戗llivercirrhosisfromMarch,2008toJanurary,2009,the100patientswhoseimageshowswidenedpor
5、tal,collateralcirculationopenupmakeasstudypatients,andtherest114patientshavenoperformanceoftheportalhypertensionascontrolgrouppatients.Eachpatientswereassessedforgallstonesbyhepatobilliaryultrasonography.Thepatientswerefoundinthegallbladderorbiledue(1ightreflex,andthose
6、谢mtypicalacousticshadowdiagnosedascholelithiasis.Comparedtwogroupsofpatientstheincidencesofcholelithiasis,analysisofportalhypertensioninpatientswithlivercirrhosistheroleofgallstoneformation.214casesoflivercirrhosisisdividedintoA,B,CaccordingtoChild—pughclassificationand
7、comparedthreegroupsofpatientsineachgrouptheincidenceofgallstoneanydifference.ResultsPortalhypertensioninpatientswithlivercirrhosisandtheincidenceofgallstonsWas46%,thecontrolgroupwas18%.Cirrhosiswithportalhypertensionthereissignificantdifferencecomparedwiththecontrolgrou
8、p(p
此文档下载收益归作者所有