目的 探讨影响胆石病临床流行病学的相关因素，为临床决策提供科学依据。方法收集遵义医学院附属医院2000年1月至2009年12月收治的经手术治疗的胆石病患者5136例病历资料，制定胆石病临床调查表进行逐项填写，经计算机整理后用SPSS 13.0软件包进行统计，并将统计结果进行比较分析。结果胆石病男女比例1∶1.78，高峰年龄为41岁～及51岁～两个阶段；胆囊结石(4456例，占86.76％)和肝外胆管结石(554例，占10.79％)构成比例均较国内为高。结论胆囊结石是遵义地区胆石病的重要临床类型，且发病趋于年轻化；性别、饮食、职业与该地区胆石病的临床发病密切相关。%Objective To find out the risk factors and the incidence of lithiasis. Methods A questionnaire was formulated by the National Biliary Surgical Group. It was sent to the medical staff of all levels of hospitals in the Zunyi Region, Guizhou to fill in on surgically proven cases of cholelithiasis. The clinical data were collected and analyzed using SPSS 13.0. Result For lithiasis, the gender ratio was 1∶ 1.78; the peak age was 41-year and 51-year respectively. The proportion of cholecystolithiasis (n =4456 ; 86.76 ％) and choledocholithiasis (n =554;10.79 ％ ) was comparatively higher than in other regions in China. Conclusions The commonest type of lithiasis in Zunyi was cholecystolithiasis. There was an increasing tendency for lithiasis to develop in young people. Lithiasis was closely associated with factors such as gender, food and occupation.
展开▼
