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对1990年1月~1995年12月6年间我国部分省市区46所医院收治的胆石病患者5582例进行统计分析。5582例中男1698例,女3884例,男∶女=1∶2.29;年龄15~84岁,平均47.2岁。胆囊结石2735例(48.99%),其中单纯胆囊结石2248例(40.27%),合并胆总管结石487例(8.72%);伴急性胆囊炎54例(1.97%),急性胆管炎189例(6.91%),阻塞性黄疸215例(7.86%)。肝内外胆管结石2847例(51.00%),其中肝外胆管结石1284例(23.00%),左肝胆管结石668例(11.97%),右肝胆管结石384例(6.88%),左右肝胆管结石511例(9.15%);合并急性重症胆管炎683例(23.99%),急性胆管炎1169例(41.06%),阻塞性黄疸431例(15.14%),胆汁性肝硬变278例(9.76%)。胆囊结石组行单纯胆囊摘除术2697例(均为开腹手术),其中48例加作T管引流;行胆肠吻合术36例;Oddi’s括约肌成形术7例。胆管结石组行胆总管探查、取石及T管引流2275例(79.91%),行各类型胆肠吻合术534例(10.76%);Oddi’s?
From January 1990 to December 1995, 5582 cases of cholelithiasis were treated in 46 hospitals in some provinces and cities in our country from January 1990 to December 1995. 5582 cases of male 1698 cases, female 3884 cases, male: female = 1: 2.29; aged 15 to 84 years old, with an average of 47.2 years old. There were 2735 cases (48.99%) with gallstones, including 2248 cases (40.27%) with simple cholecystolithiasis, 487 cases (8.72%) with common bile duct stones, 54 cases (1.97%) with acute cholecystitis, Acute cholangitis in 189 cases (6.91%), 215 cases of obstructive jaundice (7.86%). There were 2847 cases (51.00%) of extrahepatic bile duct stones, including 1284 cases (23.00%) of extrahepatic bile duct stones, 668 cases (11.97%) of left hepatic bile duct stones and 384 (6.88 cases) %), 511 cases (9.15%) of hepatolithiasis, 683 cases (23.99%) with acute cholangitis, 1169 cases (41.06%) with acute cholangitis, and 431 cases with obstructive jaundice (15.5%). 14%), bifid cirrhosis 278 cases (9.76%). Gallbladder group received simple cholecystectomy 2697 cases (all open surgery), of which 48 cases for T tube drainage; choledochojejunostomy in 36 cases; Oddi’s sphincteroplasty in 7 cases. 2275 cases (79.91%) were treated by common bile duct exploration, stone and T tube drainage, 534 cases (10.76%) were treated by various types of bile duct anastomosis. Oddi’s?