本文選題：膽囊切除術(shù) + 膽汁反流性胃炎　； 參考：《寧夏醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的通過回顧性分析及隨訪了解膽囊切除術(shù)后膽汁反流性胃炎的發(fā)病率,探討膽囊切除術(shù)中不同術(shù)式等因素之間所致膽汁反流性胃炎發(fā)病率統(tǒng)計比較。方法將寧夏醫(yī)科大學(xué)附屬總院胃鏡室2012年1月至2012年12月一年中入選的行胃鏡檢查患者,通過回顧性了解其流行病學(xué)特點,及胃鏡病理明確診斷為膽汁反流性胃炎,比較膽囊切除術(shù)后病人與未切除人群中患病率;比較膽囊切除組中發(fā)生膽汁反流性胃炎各因素分析,患病率比較用χ2檢驗(P0.05)。結(jié)果1.膽囊切除術(shù)后膽汁反流性胃炎患病率較未切除人群明顯升高(分別為10.07%、5.08%),患病率比較用χ2檢驗(得出P0.005),差異有統(tǒng)計學(xué)意義。2.膽囊切除后發(fā)生的膽汁反流性胃炎人群中,年齡組≥40歲較年齡組40歲中患病率高,差異比較有統(tǒng)計學(xué)意義;手術(shù)時間≥60min組較60min組患病率高,差異比較有統(tǒng)計學(xué)意義;術(shù)后留置T管較不置管患病率低,差異比較有統(tǒng)計學(xué)意義;男、女性別組中的患病率患病率比較用χ2檢驗(P=0.134),差異無統(tǒng)計學(xué)意義;腹腔鏡切除與開腹切除兩種不同術(shù)式患病率比較差異無明顯統(tǒng)計學(xué)意義。結(jié)論1.膽囊切除術(shù)是膽汁反流性胃炎的致病因素,切除膽囊后膽汁反流性胃炎發(fā)病率明顯增高。2.膽囊切除術(shù)因素中,年齡≥40歲、手術(shù)時間≥60min是危險因素,術(shù)后留置T管是保護(hù)因素。
[Abstract]:Objective to investigate the incidence of bile reflux gastritis after cholecystectomy by retrospective analysis and follow-up, and to explore the statistical comparison of the incidence of bile reflux gastritis caused by different surgical methods in cholecystectomy. Methods from January 2012 to December 2012, the patients selected from the gastroscope room of the affiliated General Hospital of Ningxia Medical University were selected for gastroscope examination. The epidemiological characteristics and pathological diagnosis of gastroscopy were retrospectively analyzed and diagnosed as bile reflux gastritis. The prevalence of cholecystectomy was compared with that of unresectable patients, and the incidence of bile reflux gastritis in cholecystectomy group was compared by 蠂 2 test (P 0.05). Result 1. The prevalence of bile reflux gastritis after cholecystectomy was significantly higher than that of the unresectable group (10.075.08, respectively. 蠂 ~ 2 test was used to compare the prevalence rate (P 0.005), the difference was statistically significant. The prevalence rate of bile reflux gastritis after cholecystectomy was higher in the age group 鈮，

本文編號：1995485