胆囊壁间结石与胆囊结石的成分比较

The intramural gallstones analysis of the components of intramural gallstones and calculus in gallbladder

目的比较胆囊壁间结石与胆囊腔内结石的特点以及二者关联性。方法回顾性分析2012年12月-2015年12月在医院接受手术的54例胆囊结石合并胆囊壁间结石患者及38例单纯胆囊结石患者的临床资料,对2组患者结石合并胆囊壁间结石临床特点进行分析,比较二者差异。结果观察组胆色素类结石比例高于对照组,而对照组在混合型结石比例多于观察组,差异均有统计学意义(P<0.05);2组胆囊结石华支睾吸虫检出率差异无统计学意义(P>0.05)。结论胆囊壁间结石与胆囊结石差异性主要体现在结石成分构成方面,对成分不同的胆石症患者应采取不同的预防方法,避免结石再生。

Objective To explore the characteristics and the relationship between the gallbladder stone and calculus in gallbladder. Methods The clinical data of 92 cases of patients received operation in our hospital in December 2012 to December 2015 were analysed retrospectively,which included 54 cases of patients with intramural gallstones and calculus in gallbladder and 38 cases of patients with calculus in gallbladder. The clinical characteristics of the components of intramural gallstones and calculus in gallbladder were analysed,and the differences between them were compared. Results Bile pigment stone ratio of observation group was higher than the control group,while the mixed stone ratio of control group was more than observation group,the differences were statistically significant( P < 0. 05). Clonorchis sinensis detection rate of gallbladder stones between the two group had no significant difference( P > 0. 05). Conclusion The difference between gallbladder stone and gallbladder stone is mainly reflected in the composition of stone composition. Different prevention methods should be adopted in the patients with different composition of gallstone.