梗阻性胆汁淤积病因分析

Etiological analysis of obstructive cholestasis

目的了解近年梗阻性胆汁淤积的病因发病情况。方法对我院2003年～2010年收治的梗阻性胆汁淤积病例进行病因回顾性分析。结果 914例患者,男513例,年龄5～90岁,平均年龄65.5岁,女401例,年龄5～97岁,平均年龄69.2岁。由普通外科诊治668例,占总病例数73.09%。各种病因中以胆总管结石造成的肝外梗阻最多见,占良性胆道梗阻病例数的79.21%,占总病例数的63.79%;其次为肿瘤造成的恶性胆道梗阻,占总病例数的19.47%;胆道寄生虫感染共93例,占总病例数的10.18%。结论梗阻性胆汁淤积最常见病因为结石和肿瘤,胆道寄生虫感染不容忽视。

Objective To observe the causes of obstructive cholestasis nalysis was used to find the causes of obstructive eholestasis in our hospital cases invovled including 513 males whose age ranged from 5 - 90 and 401 cases were treated by general surgery, accounting for 73.09% of the total in recent years. Methods Retrospective a- from 2003 to 2010. Result There were 914 females whose age ranged from 5 -97. 668 number of cases. In all cases, extrahepaticobstruction by bile duct lithiasis was the most common diseaes, accounting for 63.79% of the total number of cases. The next was biliary malignant tumor, accounting for 19.47% of the total number of cases. 93 patients had biliary parasitic infection, accounting for 10.18% of the total number of cases. Conclusion The primary causes leading to obstructive cholestasis were lithiasis and tumor. Billiary parasitic infection should not be ignored.