健康体检人群中肝内胆管结石患病情况分析

目的:总结分析2006年5月至2007年6月我院健康体检人群的肝内胆管结石患病情况,并了解其危险因素。方法:计算整个参检人群的肝内胆管结石患病率,并进一步按年龄及性别分层分析。危险因素分析采用Logistic回归分析。结果:(1)共检出肝内胆管结石患者1 360例,患病率为4.03%。其中男性患病率为2.63%,女性为5.77%(P<0.05)。20岁以上人群,各年龄段肝内胆管结石患病率均以女性高于男性(P<0.05)。随年龄增加,患病率有逐渐增加的趋势,发病高峰在60岁以上人群。(2)体质指数、胆囊炎、糖尿病、乙肝病毒感染等均进入回归方程,相对危险度依次为9.598、6.114、7.589、6.923。结论:人群中肝内胆管结石患病率较高,应加强对肝内胆管结石的预防和控制。

Analysis on the prevalence of calculus intrahepatic duct in the people who received physical examination in one hospital

Objective To analyze the prevalence condition of calculus intrahepatic duct in the people who received physical examination in our hospital from May 2006 to June 2007,and get the message of the risk factors to this disease.Methods The prevalence rate of calculus intrahepatic duct in the examined people was calculated,and further analyzed in correlation accordance with age and gender.The risk factors were analyzed by using Logistic regression method.Results(1)The number of the calculus intrahepatic duct patients among the examined people was 1 360,and the prevalence rate was about 4.03%,including 2.63% for male people and 5.77% for female people(P < 0.05).For the people over 20 years old,the prevalence rates of female people in every age level were higher than those of male people(P < 0.05).It′s found that the prevalence rate of the disease increased with the people′s age,and most of the people with this disease were over 60 years old.(2)The factors of BMI,cholecystitis,diabetes,being infected by HBV were all included into the regression equation,and their relative risk were 9.598,6.114,7.589 and 6.923,respectively.Conclusions There exists high prevalence of calculus intrahepatic duct in the examined people.Measures should be taken to strengthen the control and prevention of this disease.