摘要
目的 对门静脉高压性胆囊病变的成因进行综合分析。方法 对 391例门静脉高压症患者 ,其中合并有胆囊病变的 12 1例进行分析。结果 肝炎后型占 5 2 .1% ,混合型占 2 4.8% ,酒精型与胆汁型各占 4.1% ,特异型与隐匿型各占 1.7% ,血吸虫型占 11.5 % ;胆囊壁增厚、呈“双边”影、壁毛糙或胆囊炎改变者 81例 ,胆汁呈淤泥状者 14例 ,胆囊中单个或多个结石者 5 1例 ,胆囊息肉者 5例 ,胆囊萎缩者 5例 ,合并肝内外胆管扩张者 9例 ,合并胆总管结石者 7例。结论 门静脉高压、脾功能亢进、肝功能不良、腹水是门静脉高压性胆囊病变的主要成因。
Objective To analyze the patients with the portal hypertension.Methods We analyzed 121 cases with gallbladder pathologic changes from 391 cases with portal hypertension.Results Among 391 cases,52.1% were posthepatitic type, 24.8% were composites type,4.1% were ethanol type,4.1% were bile type,11.5% were bilharziasis type,1.7% were latent type,1.7% were peculiar type;81 cases were proved with gallbladder wall thicker and rougher, double shadow or cholecysitis,14 cases were proved cholestatis sludge,51 cases with gallbladder stones or single stone,5 cases with gallbladder polyps,5 cases with gallbladder wither, 7 cases with choledocholiths.Conclusion Portal hypertention,insufficient hepatic function, ascites and hypersplenism are the main causes of cholecystis pathologic changes in patients with portal hypertension.
出处
《临床外科杂志》
2001年第5期279-280,共2页
Journal of Clinical Surgery
关键词
门静脉高压
肝硬化
胆囊病变
Portal hypertension
Cirrhotic liver
Cholecystis pathologic changes
