胆石剖面形态结构与临床的关系

本文对1967～1987年间手术取出的147例胆结石进行了肉眼剖面观察.结果,胆固醇结石占49.0％,胆色素结石占41.5％,稀有结石占9.5％.肝内胆管结石,女性占10.4％,男性占5％.30～49岁组以胆囊结石多见,而30岁以下组和50岁以上组,则以胆管结石多见.城镇患者64例中胆固醇结石占64.1％,胆色素结石占31.3％,而乡村患者83例中,胆色素结石占49.4％,胆固醇结石占13.3％.本组病例以1970年为界分前后两期,胆固醇结石由前期的34.7％增高到后期的65.5％,而胆色素结石却由前期的68.9％降至后期的31.1％.

Relationship Between the Structure of Section of Gallstone and Its Clinic

This paper reports the gross observation of the section of the gallstones taken from 147 patients with cholelithiasis from 1967 to 1987. The restilt was as follows:cholesterol stone was 49.0%, bile pigmental stone, 41.5%,and rare stone, 9.5%. The incidence of hepatolithiasis was 10.4% in female and 5% in male.Gallstone was more frequently found in the age group of 30 to 49 years, whereas bile-duct stone was more often found in the other age groups. In 64 cases from cities and towns the cholesterol stone was 64.1% and bile pigmental stone was 31.3%. However, in the 83 cases in the rural areas bile pigmental stone was 49.4% and cholesterol stone, 13.3%. All cases were divided into two groups according to the year of operation, namely before and after 1970. The cholesterol stone has increased from 34.7% to 65.3% in the later time-period, but the bile pigmental stone has decreased from 68.9% to 31.1%.