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The variation in the surgical treatment of biliary tract disease in a primary hospital during recent thirty years
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
- Issue:
- 10
- DOI:
- 10.3760/cma.j.issn.1008-6706.2003.10.002
- Key Word:
- 胆道疾病;外科治疗;预后
Abstract： 目的了解胆道疾病外科治疗30年来的变化情况.方法收集我院1971年1月至2000年12月经手术治疗的胆道疾病病历共1 566份,登记其年龄性别、主要临床症状体征、病因及治疗预后等资料,并将其分成70、80及90年代等三个年代进行排列,从中了解30年来的变化状况.结果良性胆道病变如胆囊包块、胆囊穿孔、胆道休克患病率及病死率下降(P＜0.01),细菌及寄生虫性胆道感染下降,胆囊结石上升(P＜0.01),胆管结石变化不大(P＞0.05),胆管癌明显上升(P＜0.01).结论良性胆道疾病的治疗预后趋向良好,而胆管癌患病率急剧上升及病死率增加.如何合理治疗胆管癌及降低其死亡率,仍是当前不容忽视的问题.
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