广西胆石病的19年变迁

目的：探讨影响胆石病流行的相关因素及其现状，为临床决策提供科学资料。方法：采用全国胆道外科学组制定的胆石病临床调查表，到各地市组织各医院有关人员，将经手术证实为胆石病的原始住院病历带到会上逐项填写；计算机整理后用PEMS软件包进行统计分析。结果：胆石病男女比例基本持平；高峰年龄为51-60岁；但肝内胆管结石高峰年龄前移10-20岁；胆囊结石和肝内胆管结石的相对发病率均明显上升；病死率下降。结论：肝内胆管结石尚不是一个在消失中的疾病；必须提高对胆石病特点和变迁的再认识，以取得胆石病外科治疗方法新的进展和突破。

Changes in cholelithiasis in Guangxi during the past 19 years

Objective To investigate the affecting factors and present status of cholelithiasis to provide scientific materials for clinical practice. Methods The clinical investigation forms formulated by National Biliary Surgical Group were filled by people concerned in hospitals of all levels in Guangxi Zhuang Autonomous Region to sort out the cases of surgically proved cholelithiasis. Then the clinical data were collected and analyzed by PEMS. Results The suffering rate of cholelithiasis in males was nearly the same to that in females. The peak age range was 51-60. However, the peak age range of patients with intrahepatic cholelithiasis was 10-20 years ahead. Both the relative morbidity of gallbladder stone and that of intrahepatic cholelithiasis were significantly increased. The mortality of cholelithiasis was markedly decreased. Conclusions Now intrahepatic cholelithiasis is not a vanishing disease. If we want to make new achievements and breakthrough in surgical treatment of cholelithiasis, we must strengthen studies on features of and changes in this disease.