摘要
目的 通过对广西地区肝内胆管结石病的临床调查 ,探讨社会学相关因素在临床治疗中的作用。方法 采用统一的胆石病临床调查表 ,组织各地、市、县医院有关人员填写 ;并对各医院医疗设备、外科技术条件、手术患者的经济能力等进行评估 ;用评分法综合选择对患者的最佳处理。结果 肝内胆管结石在广西地区胆石病中占重要地位 ,185 7例肝内胆管结石中 71% (1319/ 185 7)是农民。肝内胆管结石的病死率在胆石病中最高 (4 85 % ) ,医疗设备及外科技术条件与经济能力相结合 ,其得分的高低 ,决定不同的处理原则。结论 社会学相关因素在广西地区肝内胆管结石病的治疗中有一定影响 ,有区别地把外科治疗方法和社会学相关因素结合起来 ,可提高治疗效果。
ObjectiveA large scale clinical investigation on epidemics of the intrahepatic cholelithiasis in Guangxi district was made to evaluate the effect of sociological factors on the outcome of surgical therapy.Methods A uniform questionaire was made and distributed to all levels of hospitals. In this form the medical equipment, surgical expertise as well as the surgical modelities adopted for the patients with intrahepatic cholelithiasis with social stratum of the patients brought into consideration. Result of the treatment was evaluated on a basis of scoring system. Results Intrahepatic cholelithiasis predominates in the cholelithiasis of Guangxi district. Among 1?857 cases suffering from intrahepatic cholelithiasis peasants were in the majority (71%). The mortality of intrahepatic cholelithiasis is the highest among gallstone diseases (4 85%). Treatment should be individualized bringing into consideration not only the patients' clinical condition but also the medical equipments, surgical expertise, the economic status of the patients.Conclusions As the sociology related factors are important in the treatment of intrahepatic cholelithiasis in Guangxi district, the effective treatment can only be achieved in the combination of surgical modelities, the surgeons' expertise and the less expense burden on the part of the patients.
出处
《中华普通外科杂志》
CSCD
2000年第10期593-595,共3页
Chinese Journal of General Surgery
