肝硬化合并胆囊结石的相关因素与临床特点

目的:探讨肝硬化合并胆结石患者的相关因素与临床特点.方法:对106例肝硬化及38例肝硬化合并胆囊结石患者的临床资料进行回顾性分析.结果:肝硬化合并胆结石发生率26.4%;男女间无差异;老年及肝硬化失代偿期、胆囊壁厚度≥4mm、门静脉内径≥13mm、血浆白蛋白＜35g/L发生率高;肝硬化合并胆结石较无结石组死亡率高.结论:肝硬化患者胆结石发生率高;症状隐匿的缺乏特异性.胆结石发生与肝硬化分期、胆囊壁厚度、年龄、门静脉内径、白蛋白水平相关,宜先采用内科保守治疗.

The Related Factors and Clinical Characteristics of the Cirrhosis Merger Gall Bladder Stone

Objective:To investigate the related factors and clinical characteristics of patients with the cirrhosis merger gall stone.Method:The related factors and clinical characteristics were described by rewiewing the data of 106 patients suffered with cirrhosis and 38 patients suffered with cirrhosis merger gallstone.Result:The occurrence rate of cirrhosis merger gallstone was 26.4%.There was no difference between men and women.And there was higher rate of it observed in those who was old people,liver function decompensation,gall bladder wall thicknes more than 4mm,portal size more 13mm,and albumin less than 35 g/L,and so as higher mortality.Conclusion:The gallstone occurrence rate was higher in cirrhosis,and was related with the stage of cirrhosis,the thickness of gall bladder wall,the portal size,the albumin and the age.The symptoms were concealed and had lack of particularity.A conservative treatment of medicine might be adept properly.