摘要
目的:探讨肝硬化患者合并胆囊结石的临床特点。方法:回顾性分析167例肝硬化患者合并胆囊结石,在性别、病程、肝功能child-pugh分级、门静脉宽度、胆囊壁厚度等方面的差异。结果:167例肝硬化患者合并胆囊结石39例(23.35%)。不同性别间胆囊结石发生率比较无差异(P>0.05);而病程时间越长和肝功能child-pugh分级越差,胆囊结石的发生率明显增加(rs=0.195,P<0.05,P<0.01);不同门静脉宽度(<13mm和≥13mm)和不同胆囊壁厚度(≥4mm与<4mm)的肝硬化患者胆囊结石发生率比较有统计学意义(P<0.05,P<0.05)。结论:肝硬化胆囊结石发生率与病程时间、门静脉宽度、胆囊壁厚度及肝功能child-pugh分级有关,与性别无关。
Objective:To investigate the clinical characteristics of gallstone complicated with liver cirrhosis.Methods:We retrospectively analyzed 167 patients with hepatic cirrhosis from January 2004 to January 2009,and compared the gallstone incidence rates between different genders,time of diseases,levels of child-pugh classification,portal vein diameter and gallbladder wall thickness.Results:39 patients was complicated with gallstone in total (23.35%).The gallstone incidence rates between men and women was no difference,but increased following by the time of diseases and the levels of child-pugh classification (rs=0.195,P0.05,x2= 15.571,P 0.01).There was significant difference of gallstone incidence rates between different portal vein diameter (13mm,≥ 13mm)and different gallbladder wall thickness (≥4mm, 4mm)(x2=4.128,P0.05,x2= 4.522,P0.05).Conclusions:The gallstone incidence rate of patients with liver cirrhosis is correlatedn with time of diseases,levels of child-pugh classification,portal vein diameter and gallbladder wall thickness,besides gender.
出处
《安徽卫生职业技术学院学报》
2010年第1期39-40,共2页
Journal of Anhui Health Vocational & Technical College
关键词
肝硬化
胆囊结石
liver cirrhosis
gallstone