AN EPIDEMIOLOGICAL SURVEY OF CHOLELITHIASIS IN SHANGHAI

Objective To obtain a general overview of gallstone disease in Shanghai. Methods 3415citizens aged >20 in the community of Shanghai were randomly selected to undergo a clinical epidemiological study and an ultrasound examination to screen for cholelithiasis. Results Overall prevalence rate of gallstones was 6.5% (8.6% in women and 5.1% in men). Among the 3415 persons investigated, 65 had already undergone cholecystectomy. The percentage of asymptomatic gallstone was 70 .5% . Prevalence of gallstone diseases (gallstones plus cholecystectomy) increased with age significantly. Conclusion Compared to the research in Shanghai ten years ago, especially for the persons older than 50 years, the gallstone disease has become more frequent. The proportion of asymptomatic gallstones and the awareness is increasing.     

社区成年女性胆囊结石发生现状的调查报告

目的：调查和了解当前社区女性人群中胆囊结石的发生状况。方法：通过问卷调查表和Ｂ超对社区中４３３名女性作临床流行病学调查。结果：发现胆囊结石病人６８例（１５．７％）,其中无症状者４３例（６３．２％）。此４３例中２６例（６０．５％）并不知晓自己的病情。结合病史发现在社区成年女性中７．４％已施行胆囊切除术。研究表明,胆囊结石的患病率随年龄的增加而升高,且年龄越大,胆囊切除率越高。结论：与１０余年前相比,上海地区胆囊结石患病率升高明显,社区中女性胆囊结石的患病率已与西方国家相近。     

上海江湾地区成年人胆囊结石发病情况调查

目的：了解当前上海江湾地区成年人胆囊结石的发生状况。方法：采用B超对社区中3419名居民作胆囊结石发病情况的调查。结果：20岁以上人群中有1．9％已施行胆囊切除术。胆囊结石的患病率为6．5％(男性为5．1％，女性为8．6％)，其中无症状者占70．5％。在静止胆囊结石患者中，有54．5％并不知晓自己的病情。胆囊结石的患病率随年龄的增加而升高，而年龄越大，胆爱切除率越高。结论：与十余年前相比，上海地区人群胆囊结石患病率有所提高，尤其在50岁以上年龄群中更为明显。其中静止胆囊结石的比例以及患者对病情知晓度均有上升。