阻塞性黄和急性胆管炎的病因概况:来自印度东部的三级护理中心的三年数据
Saroj K Sahu1, Preetam Nath1, Bipadabhanjan Mallick1
1Department of Gastroenterology and Hepatology, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
Euroasian journal of hepato-gastroenterology
|January 13, 2025
概括
良性胆道阻塞,主要是胆固醇,是印度东部阻塞性黄和急性胆道炎的首要原因. 恶性病因,如胆囊癌,也很重要,特别是在急性胆道炎病例中.
科学领域:
- 胃肠道学和肝胆道医学
- 临床流行病学临床流行病学
- 东印度的医学研究.
背景情况:
- 阻塞性黄 (OJ) 和急性胆道炎 (AC) 是胆道阻塞的常见并发症.
- 关于东印度OJ和AC的特定病因谱的数据有限.
- 了解区域病因模式对于有针对性的临床管理和公共卫生战略至关重要.
研究的目的:
- 调查和定义阻塞性黄 (OJ) 和急性胆道炎 (AC) 的各种原因.
- 分析位于印度东部的第三级护理中心的病因因素.
- 将发现与其他印度中心的现有文献进行比较.
主要方法:
- 连续诊断出有或没有AC的OJ患者的回顾性分析.
- 从2021年1月到2023年12月从医院的计算机化数据库中收集的数据.
- 病因的分类为良性胆道阻塞 (BBO) 和恶性胆道阻塞 (MBO).
主要成果:
- 总共分析了772名患者.
- 良性胆道阻塞 (BBO) 是主要原因 (58.8%),胆道胆病是最常见的 (51%).
- 恶性胆道阻塞 (MBO) 占41.2%,胆囊癌 (GBC) 是最常见的 (21%).
- 急性胆道炎 (AC) 发生在26.2%的OJ病例中,与BBO (23%) 相比,与MBO (10%) 相关的频率更高.
结论:
- 在这个东印度群体中,良性病因,特别是胆固醇,在OJ和AC两种病因中比恶性病因更为普遍.
- 胆囊癌成为OJ的第二大常见病因,也是主要的恶性病因.
- 胆固醇胆病和胆囊癌分别是AC最常见的良性和恶性病因.
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