摘要
目的:探究2019年东莞市石碣镇农村居民体检人群中肝胆疾病的患病现状和发病特点,并分析在基层医院中彩色多普勒超声对肝胆疾病早期诊断的应用价值。方法:选取2019年在本院接受健康体检的石碣镇农村居民11259例,应用彩色多普勒超声进行肝胆疾病筛查,并与患者上级医院复查或手术后的病理结果进行对照。分析彩色多普勒超声筛查对基层医院肝胆疾病早期诊断的应用价值,统计分析东莞市石碣镇农村居民健康体检人群肝胆疾病患病现状和发病特点。结果:彩色多普勒超声检查结果显示,在11259例体检人员中,男占53.99%(6079/11259),女占46.01%(5180/11259)。筛查出东莞市石碣镇农村居民患慢性肝胆疾病3053例,患病率27.12%,男患病率30.99%(1884/6079),女患病率22.57%(1169/5180),男性患病率高于女性(χ^(2)=100.43,P<0.05)。在患病的人群中,年龄为18~30岁、31~50岁、51~70岁、>70岁的患病率分别为15.75%(475/3053)、40.91%(1249/3053)、27.78%(848/3053)、15.75%(481/3053)。不同年龄段的患病情况比较,差异有统计学意义(P<0.05);男性中,不同年龄段的患病情况比较,差异有统计学意义(P<0.05);女性中,不同年龄段的患病情况比较,差异有统计学意义(P<0.05)。梁家村慢性肝胆疾病的患病率28.29%、石碣村55.61%、横滘村27.48%、水南村26.08%、单屋村26.30%、涌口村23.25%、桔洲村28.03%、黄泗围村27.97%、唐洪村27.16%、刘屋村22.01%、西南村35.69%、鹤田厦村31.38%、城中社区21.68%。不同村肝胆疾病患病率比较,差异有统计学意义(P<0.05);男性中,不同村肝胆疾病患病率比较,差异有统计学意义(P<0.05);女性中,不同村肝胆疾病患病率比较,差异有统计学意义(P<0.05)。彩色多普勒超声的患病类型:肝囊肿787例(6.99%)、肝血管瘤324例(2.88%)、肝内胆管结石281例(2.50%)、胆囊结石831例(7.38%)、胆囊息肉830例(7.37%),其中的胆结石的患病率最高,共1112例,患病率为9.88%。经随访,患病的3053例中有2455例进行了手术治疗或上级医院复查,且彩色多普勒超声检查与术后病理或上级医院复查结果相符。结论:东莞市石碣镇农村居民体检人群中,慢性肝胆疾病总患病率在全国属于中低水平,中年男性为主要的发病人群,病理类型以肝胆结石为主,石碣村的患病率最高,需要重点关注并采取防治措施,彩色多普勒超声对慢性肝胆疾病筛查有重要的作用,值得推广。
Objective:To explore the prevalence and characteristics of hepatobiliary diseases among rural residents in Shijie Town of Dongguan City in 2019,and to analyze the application value of color Doppler ultrasound in the early diagnosis of hepatobiliary diseases in primary hospitals.Method:A total of 11259 rural residents in Shijie Town who received physical examination in our hospital in 2019 were selected.Color Doppler ultrasound was used to screen hepatobiliary diseases,and the results were compared with those of reexamination in superior hospital or pathological results after surgery.The application value of color Doppler ultrasound screening in the early diagnosis of hepatobiliary diseases in primary hospitals were analyzed,and the prevalence and characteristics of hepatobiliary diseases in rural residents of Shijie Town,Dongguan City were statistically analyzed.Result:The results of color Doppler ultrasonography showed that among 11259 cases,53.99%(6079/11259)were males and 46.01%(5180/11259)were females.A total of 3053 cases of chronic hepatobiliary diseases were screened in Shijie Town of Dongguan city,with a total prevalence of 27.12%,30.99%(1884/6079)in males and 22.57%(1169/5180)in females.The prevalence rate of males was higher than that of females(χ^(2)=100.43,P<0.05).The prevalence was 15.56%(475/3053),40.91%(1249/3053),27.78%(848/3053)and 15.75%(481/3053),respectively,in patients aged 18 to 30,31 to 50,51 to 70,and older than 70 years.There were statistically significant differences of different age groups(P<0.05);among males,there was statistically significant difference in the prevalence of different age groups(P<0.05);among females,there was statistically significant difference in the prevalence of different age groups(P<0.05).The prevalence rates were 28.29%in Liangjia Village,55.61%in Shijie Village,27.48%in Hengjiao Village,26.08%in Shuinan Village,26.30%in Shanwu Village,23.25%in Yongkou Village,28.03%in Juzhou Village,27.97%in Huangsiwei Village,27.16%in Tanghong Village,22.01%in Liuwu Village,35.69%in Southwest Village,and Hetiansha Village 31.38%,urban communities 21.68%.The prevalence of hepatobiliary diseases in different villages was statistically significant(P<0.05);among males,the prevalence of hepatobiliary disease in different villages was statistically significant(P<0.05);among females,the prevalence of hepatobiliary diseases in different villages was statistically significant(P<0.05).According to the disease types of color doppler ultrasound results can be divided into:787 cases(6.99%)of liver cyst,324 cases(2.88%)of hepatic hemangioma,281 cases(2.50%)of intrahepatic bile duct calculi,831 cases(7.38%)of gallstone,and 830 cases(7.37%)of gallbladder polyp,among which gallstones had the highest prevalence(9.88%),1112 cases in total.Follow-up showed that 2455 of the 3053 patients received surgical treatment or reexamination in the superior hospital,and the color Doppler ultrasound examination was consistent with the results of reexamination in superior hospital or pathological results after surgery.Conclusion:The total prevalence rate of chronic hepatobiliary diseases among rural residents in Shijie Town of Dongguan City is at the low and middle level in China.Middle aged males are the main population with hepatolithiasis as the main pathological type.Shijie Village has the highest prevalence rate.It needs to focus on and take preventive measures.Color Doppler ultrasound play an important role on screening chronic hepatobiliary diseases,which is worthy of promotion.
作者
刘兴斌
梁锡阳
陈奇辉
张泽霖
LIU Xingbin;LIANG Xiyang;CHEN Qihui;ZHANG Zelin(Shijie Hospital of Dongguan,Dongguan 523290,China;不详)
出处
《中国医学创新》
CAS
2021年第17期67-71,共5页
Medical Innovation of China
基金
2020年东莞市社会科技发展(一般)项目(202050715011530)。
关键词
彩色多普勒超声
慢性肝胆疾病
健康体检
Color Doppler ultrasound
Chronic hepatobiliary diseases
Physical examination
