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目的了解老年血吸虫肝病患者合并胆囊疾病状况,探讨血吸虫肝病合并胆囊疾病的影响因素。方法 280例老年血吸虫肝病患者分为2组,慢性肝纤维化组198例,肝硬化组82例,对胆囊B超检查结果及肝功能回顾性分析,进行统计学处理。结果 280例老年血吸虫肝病患者中,合并胆囊疾病者157例,占56.1%。其中胆囊壁增厚为28.2%(79/280),胆结石为13.6%(38/280),胆囊炎为11.1%(31/280),胆囊息肉为3.2%(9/280)。血吸虫肝病肝硬化组患者胆囊壁增厚、胆囊炎、胆结石的发病率较纤维化组明显增高,2组差异有统计学意义(χ2=4.568,P<0.05)。结论老年血吸虫病患者合并胆囊疾病的主要影响因素为年龄、病程、肝硬化及门脉高压程度。
Objective To understand the status of gallbladder disease in elderly patients with schistosomiasis liver disease and to explore the influencing factors of schistosomiasis liver disease with gallbladder disease. Methods Two hundred and seventy elderly patients with schistosomiasis liver disease were divided into two groups, 198 patients with chronic liver fibrosis and 82 patients with cirrhosis. The results of B-ultrasound and liver function were retrospectively analyzed and statistically analyzed. Results Of the 280 elderly schistosomiasis patients with liver disease, 157 cases were complicated with gallbladder disease, accounting for 56.1%. Among them, gallbladder wall thickening was 28.2% (79/280), gallstone was 13.6% (38/280), cholecystitis was 11.1% (31/280) and gallbladder polyps was 3.2% (9/280). The incidence of gallbladder wall thickening, cholecystitis and gallstones in schistosomiasis patients with liver cirrhosis was significantly higher than that in fibrosis patients (χ2 = 4.568, P <0.05). Conclusion The main influencing factors of elderly patients with schistosomiasis complicated with gallbladder disease are age, course of disease, cirrhosis and portal hypertension.