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细菌感染与东方国家常见的胆红素结石之间的关系早已被确认,但发生在西方的胆结石是否由于细菌感染所致则仍在争论中。1982年国际卫生组织把色素结石分类为黑色素和褐色素结石。西方国家中,黑色素结石与溶血,肝硬变和年迈有关,而褐色素结石多在胆总管结石复发时发现。为明确各种结石形成与细菌感染之问的关系,作者采用现代技术手段对67例病人的结石进行了研究。研究对象是1987～1988年期间所有在约翰·霍伯金斯医院作胆囊切除和(或)胆总管探查的病人中取
The relationship between bacterial infections and the common bilirubin stones in the East has long been recognized, but whether gallstones in the West are caused by bacterial infections remains controversial. In 1982, the WHO classified pigmented stones as melanin and brown pigment stones. Western countries, melanin stones and hemolysis, cirrhosis and aging related, and more brown pigment stones found in the common bile duct stones. In order to clarify the relationship between the formation of various stones and bacterial infection, the authors used modern techniques to study the stones of 67 patients. The subjects were all patients who underwent cholecystectomy and / or common bile duct exploration at Johns Hopkins Hospital from 1987 to 1988