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作者报道门脉高压症773例,其中合并有胆道结石者127例(16.4%)。原发性疾病有:肝硬变639例合并胆道结石者102例(16.0%)。特发性门脉高压症89例合并胆道结石者16例(17.9%),原发性胆汁性肝硬变9例合并胆道结石者2例(22.2%),肝外门脉闭塞症28例合并胆道结石者7例(25.0%)。肝硬变中78.2%、特发性门脉高压中60%为胆色素结石。胆石症近年来有上升趋势,尸体解剖胆石发现率约为8%,其中60岁以上胆石发现率为15%。已知有些疾病可使胆石患病率上升,如溶血性贫血,胃切除术后、回肠末端疾患、回肠、瘘回肠切除术后、心瓣胰置换术后、肝硬变、糖尿病及使用避孕剂等,其中
The authors reported 773 cases of portal hypertension, of which 127 cases (16.4%) had biliary stones. Primary diseases are: 639 cases of cirrhosis with biliary stones in 102 cases (16.0%). There were 89 cases with idiopathic portal hypertension complicated by biliary calculus in 16 cases (17.9%), 9 cases with primary biliary cirrhosis with biliary calculus in 2 cases (22.2%) and extrahepatic portal vein occlusive disease (28 cases) Biliary calculi in 7 cases (25.0%). 78.2% of cirrhosis, 60% of idiopathic portal hypertension for bile pigment stones. In recent years, cholelithiasis has been on the rise. The discovery rate of autopsy gallstones is about 8%, among which the detection rate of gallstone over 60 years old is 15%. Some diseases are known to increase the prevalence of gallstones such as hemolytic anemia, gastrectomy, terminal ileum disorders, ileum, post-ileal resection, post-heart valve replacement, cirrhosis, diabetes, and the use of contraceptives Among them, among them