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尸解研究表明,肝硬化患者的胆石症发病率约为非肝硬化者的3倍。为进一步弄清肝硬化患者的胆石症发病率,作者对肝硬化者和非肝硬化对照者作超声检查,比较两组胆结石的发病率,并分析其他参数。材料和方法:410名肝硬化住院病人为肝硬化组(男251,女159;年龄:男61.5±10.3,女62.2±11.7)。其中258例(62.9％)根据组织学和腹腔镜检查确诊,另外152例(37.1％,Child C级)则是根据临床、生化、超声图象特征和食管静脉曲张表现而确诊。胆汁性肝硬化者除外。胆石症的超声诊断按Barbara等(1987)描述的标准确定,肝功能状况是按照Child评分分类表示。同时,414名年龄、性别配对的非肝病者分为对照组。
Autopsy studies have shown that the incidence of cholelithiasis in cirrhotic patients is about three times that of non-cirrhotic patients. To further understand the incidence of cholelithiasis in cirrhotic patients, the authors performed an ultrasound examination of cirrhotic and non-cirrhotic controls comparing the incidence of gallstones in both groups and analyzing other parameters. MATERIALS AND METHODS: 410 hospitalized cirrhotic patients were cirrhosis (male 251, female 159; age: 61.5 ± 10.3 male, female 62.2 ± 11.7). Of these, 258 (62.9%) were diagnosed by histology and laparoscopy and the other 152 (37.1%, Child C) were diagnosed on the basis of clinical, biochemical and ultrasonographic features and esophageal varices. Biliary cirrhosis except. Ultrasound diagnosis of cholelithiasis was determined by the criteria described by Barbara et al. (1987) and liver function status was categorized by Child score. At the same time, 414 age and sex matched non-liver disease patients were divided into control group.