甘肃平凉地区胆囊结石1268例临床分析

Clinical analysis of cholelithiasis in the residential region of the Hui nationality in PinLiang:report of 1268 cases

目的了解甘肃平凉回汉民族杂居区胆囊结石的发病及临床特征。方法收集2005年8月至2006年8月间经手术治疗的1268例胆囊结石患者临床资料作为研究对象。结果①小儿患者比例较高;在各年龄组,女性患者均多于男性。②女性、高脂肪高胆固醇饮食、营养过剩、糖尿病、肝硬化及高脂血症和胆囊结石的发生关系密切。③回族居民发病率高于汉族居民。④腹腔镜胆囊切除术中转率为0.79%,严重并发症发生率为0.29%。结论平凉回汉民族杂居区居民所患胆囊结石在人群分布、性别、年龄、营养状况及饮食习惯等方面呈现不同特点,当地腹腔镜胆囊切除术技术已经成熟。

To investigate the morbidity and clinical characteristics in the residential region of the Hui nationality in PinLiang. Methods From Aug 2005 to Aug 2006, 1268 cases of cbolelitbiasis undergone surgical treatment were retrospectively analyzed. Results ①In this group, the incidence of child was high, and the incidence of female was obviously higher than that of male. ②Being female, obesity, high-fat and bypercbolesterol diet, diabetes, liver cirrhosis and history of byperlipidemia might serve as risk factors to cbolelitbiasis.③The incidence of cbolelitbiasis in the Hui people was obviously higher than that in the Han people. .④Ten patients（0.79%） undergone laparoscopic cbolecystectomy conversed to open cbolecystectomy, and the severe complication rate was 0.29%. Conclusion Compared with other regions of China, cbolelitbiasis of the residents in PinLiang has unique characteristics in population distribution types, sex, age, nutritional status and diet habit. The laparoscopic cbolecystectomy technique in the locality has improved.