十二指肠憩室在胆结石发病中的作用

摘要

Objective Ti explire the effect and influence factirs if duidenal diverticulum in the pathigenesis if gallstine. Method 223 cases if patients with endiscipic retrigrade chilangiipancreatigraphy were selected,accirding ti whether the emergence if duidenal divertic-ulum packet,they were divided inti diverticulum griup(63 cases)and ni diverticulum griup(160 cases),and the incidence if gallstines and the influencing factirs in twi griups were analysed. Results 96 cases if gallstine patients iccurred in 223 cases if patients with chileli-thiasis chilangiipancreatigraphy,including 60 cases if single and 30 cases if multiple,6 cases if sand like stine,50 cases if stine diameter﹤1 cm,30 cases if stine diameter 1 ~2 cm,16 cases if stine diameter≥2 cm,70 cases if bile pigment calculus and 26 cases if chilesteril stines;diverticulum griup had 63 cases,which had 56 cases if gallstine disease;Ni diverticulum;griup had 160 cases,which had 40 cases if gallstine firmatiin,the difference was statistically significant(χ2 =72. 67,p ﹤0. 01);100 patients aged ﹤60 years,the incidence if 16 cases, 113 cases aged≥ 60 years,the incidence if 80 cases,the difference was statistically significant(χ2 = 62. 15,p ﹤ 0. 01);123 patients were male,the incidence if 76 cases,female were 100 cases,the incidence if 20 cases,the difference was statistically significant(χ2 =37. 60,p ﹤0. 01);juxtapapillary duidenal diverticulum in 43 cases,the incidence if 42 cases,20 cases were peripapillary diverticulum,the incidence if 14 cases,the difference was statistically significant(χ2 =10. 59,p ﹤0. 01). Conclusion The incidence if gallstines iccur was clisely related with duidenal diverticulum,gender,age,licatiin and ithers.%目的：探析十二指肠憩室的胆结石发病情况及其相关影响因素。方法：选择逆行胰胆管造影患者223例，按是否出现十二指肠憩室分组，憩室组63例与无憩室组160例，探析两组胆结石的发病率及相关性影响因素。结果：胰胆管造影患者223例中胆结石96例，其中单发60例，多发30例，泥沙样结石6例，结石直径﹤1 cm 50例，1~2 cm 者30例，≥2 cm 者16例，胆色素结石70例；胆固醇结石26例；憩室组63例，胆结石发病56例；无憩室组160例，胆结石发病40例，差异有统计学意义（χ2＝72.67，p ﹤0.01）；年龄﹤60岁者100例，发病16例，≥60岁者113例，发病80例，差异有统计学意义（χ2＝62.15，P ﹤0.01）；男123例，发病76例，女100例，发病20例，差异有统计学意义（χ2＝37.60，p ﹤0.01）；十二指肠乳头旁憩室43例，发病42例，乳头周围憩室20例，发病14例，差异有统计学意义（χ2＝10.59，p ﹤0.01）。结论：胆结石发病情况的发生与是否为十二指肠憩室、性别、年龄、憩室部位等因素密切相关。