唐山地区胆石病6 417例回顾性分析

目的:分析近年来唐山地区胆石病的发病及临床特点。方法:回顾性分析2005年6月—2011年6月间经手术证实胆石症患者6 417例的临床资料。结果:胆石病患者总数呈逐年上升趋势(P<0.01),其中胆囊结石占85.29%;所有胆石病患者中,男女比例为1:1.65,且男女均以胆囊结石多见;胆囊结石发病高峰年龄为41~50岁,肝外胆管结石、肝内胆管结石发病高峰年龄均为51~60岁;在职业构成比中,目前胆囊结石以农民(34.19%)及职员(36.82%)为主,肝内胆管结石则以农民(80.00%)为主;农民胆囊结石比例呈逐年上升趋势(P<0.01)。结论:胆囊结石是唐山地区胆石病的重要临床类型,且农民及职员构成该病的主体。

Retrospective analysis of 6 417 cholelithiasis patients in Tangshan

Objective: To investigate the morbidity and clinical features of cholelithiasis in recent years in Tangshan region. Methods: The clinical data of 6 417 patients with cholelithiasis confirmed by surgery between June 2005 and June 2011 were retrospectively analyzed. Results: The total number of cholelithiasis patients showed an increasing trend over the years (P<0.01), in which cholecystolithiasis accounted for 85.29%. For the entire group of cholelithiasis patients, the male to female ratio was 1:1.65, and cholecystolithiasis was predominant in both sexes. The peak age in the cases of gallbladder stones was 41–50 years, and in those of extrahepatic as well as those of intrahepatic bile duct stones it was 51–60 years. As for the occupational composition ratio, farmers (34.19%) and office staffs (36.82%) were the main sufferers of gallbladder stones at the time of this survey, and farmers accouted for the majority of intrahepatic bile duct stones (80.00%). The proportion of farmers in the cholecystolithiasis population showed a rising tendency (P<0.01). Conclusion: Cholecystolithiasis is the most important type of cholelithiasis in Tangshan, and farmer and office staffs are the main sufferers of this disease.