胆囊皱襞位置异常与胆囊疾病的关系探讨

Discussion of the relationship between Gallbladder folds abnormal position and gallbladder disease

目的探讨胆囊皱襞位置异常与胆囊疾病的关系。方法对超声探查发现的2900例皱襞胆囊患者,根据其位置分为胆囊皱襞正常组1450例(A组)和胆囊皱裂位置异常组1450例(B组),并对两组患者发生胆囊疾病的情况进行分析,结果 A组中正常胆囊占58%(841例),病变胆囊占42%(609例),其中胆囊结石、慢性胆囊炎、慢性胆囊炎合并胆囊结石、急性胆囊炎、胆囊息肉、胆囊腺肌增生症的发病率分别约12.3%、8.4%、9.5%、6.3%、3.5%、2.0%;B组中正常胆囊占11.8%(172例),病变胆囊占88.2%(1278例),其中胆囊结石、慢性胆囊炎、慢性胆囊炎合并胆囊结石、急性胆囊炎、胆囊息肉胆囊腺肌增生症、的发病率分别约20.1%、9.2%、38.5%、11.8%、5.6%、3.0%。B组胆囊病变发病率显著高于A组(P<0.05)。结论胆囊由于皱襞异常,影响胆汁排泄及胆囊收缩功能,导致胆汁淤积,是胆囊疾病发生的病因之一,且皱襞越近底部或皱襞横贯性越大,胆囊疾病的发病率越高。

Objective To discuss the relationship between gallbladder folds abnormal position and gallbladder disease. Methods 2900 cases of wrinkled folds gallbladder were divided into gallbladder wrinkled folds normal group （1450cases） and gallbladder position abnormal group （1450 cases） based on its location, their data were analyzed. Results Normal group had 58 percent, normal gallbladder, incidence of gallbladder, gallstones, chronic cholecystitis, chronic cholecystitis, gallstones, acute cholecystitis, gallbladder polyps, hyperplasia of the gallbladder adenomyosis were 12.3%, 8. 4%, 9.5% 6.3%, 3. 5%, 2.0%; abnormal group had 11.8% of normal gallbladder, the incidence of gallstones, chronic cholecystitis, chronic cholecystitis, gallstones, acute cholecystitis, gallbladder interest gallbladder adenomyosis hyperplasia disease meat, were 20.1%, 9.2%, 38.5%, 11.8%, 5.6%, 3.0%. Abnormal gallbladder disease incidence was significantly higher than that in normal group （ P〈0.05 ）. Conclusion Gallbladder abnormal folds, affected by biliary excretion, and cholecystokinin function, leading to cholestasis is one of the causes of gallbladder disease, and folds the closer to the bottom or folds across the greater the higher the incidence of gallbladder disease.