摘要
作者等在28319名正常人年度健康查体时用 B 超方法对天津胆石自然发生率作了研究。结果如下:1.共2325例发现有胆石,自然发生率为8.2%。其中1883例胆石位于胆囊,发生率6.6%,163例胆石位于胆管,发生率0.6%,273例胆囊及胆管均有胆石,发生率1.0%。2.胆石发生率与年龄、性别的关系:50岁以下男人胆石发生率为6%,女性50岁以下者为7%。但50岁以上男性发生率为11.3%,女性为20.2%。3.工作性质与发生率的关系:干部及知识份子发生率最高,为9.6%,农民最低为5%。胆囊结石的差别更为明显,干部、知识份子为8%,农民为2.4%。但胆管结石呈相反趋势,农民、工人、干部分别为2.0%、0.3%和0.2%。4.营养与发生率的关系:营养较好,其食物中含肉量较多者发生率为13.7%,营养较差即食物中食肉量较少者发生率为7.4%。胆囊结石发生率分别为12.1%和5.6%,胆管结石则呈相反情况,分别为0.1%和0.7%。5.居住地点与发生率的关系:居住在市区者发生率高于居住在农村者(10.5%和3.7%)。胆管结石亦相反(0.2%和1.2%)。天津胆石自然发生率普查为8.2%。居住地区、性别、年龄、工作性质和营养条件与发生率有关,经统计学处理在以上各因素中以居住地和性别为最重要的因素。
The natural incidence of cholelithiasis in 28519 persons during yearly generalhealth examination was studied with the method of B-type ultrasound.The resultwas as follows.1.Two thousand three hundred and twen ty five persons were discovered to havegallstones,the natural incidence of gall stone was 8.2%.Of them,gall stones werefound in the gall bladder in 1869 persons,(6.6%),in 163 persons the stones were inthe bile ducts(0.6%),combined gall bladder and bile duct stones were found in 273persons(1.0%).2.Relation between age sex and incidence of gall stone.The incidence ofgall stone was 6% in males less than 50 years old,it was 7% in females lessthan 50 years old.But the incidence increased to 11.5% in males over 50 years ofage and it was 20.2% in females.3.Incidence of stone with different occupations.In cadres and intellectuals,the incidence was highest,9.6%.It was lowest in farmers,only 5%.The differenceof incidence of gall bladder stone was more prominent,in intellectuals it was 8%,in farmers 2.4%.But the incidence of bile duct stone was in a reverse picture.Theincidence was 2.0%, 0.3% and 0.2% respectively in farmer,workers and intellec-tuals.4.Relationship with nutrition.The incidence was 13.7% in persons with goodnutrition(who have more meat in their diet),and it was 7.4% in persons who takeless meat in their food.The incidence of cholecystolithiasis was 12.1% and 5.6%respectively.But the incidence of bile duct stone also presented in a reverse picture,it was 0.1% and 0.7% respectively.5.Incidence and living place.The incidence was higher in persons living in theurban district than those living in the country side(10.5% and 3.7%).Bile duct stonealso presented a reverse picture(0.2% and 1.2%).Conclusion:There were many factors influencing the incidence of cholelithiasis,such as the living place,sex,age,occupation and nutrition.Among these factorsthe living place and sex were the most important ones.
出处
《天津医药》
CAS
1991年第1期20-24,共5页
Tianjin Medical Journal
关键词
胆结石
自然发生率
普查
cholelithiasis
cholecystolithiasis
choledocholithiasis
natural incidence
