石河子地区1517例胆囊结石发病与临床特征分析.docVIP

石河子地区1517例胆囊结石发病与临床特征分析 　　[摘要] 目的 了解石河子地区胆囊结石的发病和临床特征。 方法 收集2011年1月～2013年12月在石河子大学第一附属医院、石河子市人民医院经手术确诊胆囊结石并在本地居住5年以上的住院患者共1517例的临床资料，按年龄、性别、民族、职业、居住地分组进行回顾性分析。 结果 胆囊结石住院数逐年增多，2011～2013年占肝胆外科总住院数比依次为49.29%、51.36%、52.42%；女性（62.7%）多于男性（37.3%），男性和女性患病率比为1∶1.69；40岁及以上患者比例明显增加，高峰年龄为60～70岁（24.3%）；60岁与≥60岁者患病率比为1∶4.09；少数民族仅占9.6%，与汉族患病率比为1.64∶1；职业构成中工人占41.4%，农民占39.7%，职员占8.3%，其他占10.6%；城市居住者占55.8%，非城市居住者占44.2%。 结论 胆囊结石是石河子地区肝胆外科主要的疾病，患病率逐年增加；女性、老年人、少数民族患病率较高，以工人和农民为主体，城市与非城市来源差别不大。 　　[关键词] 胆囊结石；胆石病；回顾性研究；构成比 　　[中图分类号] R657.4 [文献标识码] A [文章编号] 1673-7210（2015）10（a）-0018-04 　　Analysis of morbidity and clinical characteristics of 1517 cases with gallstones in Shihezi 　　LIAN Wenbo WANG Yanchao ZHANG Xiaozhao JIN Liang CAI Fei ZHANG Shijie 　　Department of Hepatobiliary Surgery， the First Affiliated Hospital of Shihezi University， Xinjiang Uygur Autonomous Region， Shihezi 832000， China 　　[Abstract] Objective To investigate the morbidity and clinical characteristics of gallstone （GS） patients in Shihezi. Methods The clinical datum of 1517 hospitalized GS patients， who were diagnosed by surgery in the First Affiliated Hospital of Shihezi University and the Shihezi Peoples Hospital and lived in the local area more than 5 years， were collected from January 2011 to December 2013. The clinical parameters about age， gender， nationality， occupation and residence of GS patients were retrospectively analyzed. Results The number of GS patients increased year by year. The proportions of hospitalizations of GS patients in Department of Hepatobiliary Surgery from 2011 to 2013 was 49.29%， 51.36% and 52.42% respectively. Female cases （62.7%） were more than mens （37.3%）， the ratio of prevalence of male to female was 1∶1.69. The proportion of GS patients whose age over 40 increased significantly， and the peak age of GS patients was 60 to 　　[Key words] Gallstone； Cholelithiasis； Retrospective studies； Proportion 　　流行病学研究显示，胆囊结石患病率以每10年约2倍的趋势在不断增加，西方患病率高达10%～20%。我国内地调查显示，胆囊结石检出率为3%～11%。刘江伟等[1]