中国东南地区胆囊结石与大肠癌关系的探讨

The Study of the Relationship between Cholelithiasis and Colorectal Cancer in the Southeast Region of China

  • 摘要: 目的 :探讨胆囊结石与大肠癌的相关性。 方法结果 :大肠癌组的胆囊结石合并率17.17%(34/198)显著高于对照组的9.26%(20/216)(X2=5.71 P<0.05);这种差异受年龄的影响,当≤60岁时二者的胆囊结石合并率无明显差异,而>60岁时大肠癌组的胆囊结石合并率24.04%(25/104)显著高于对照组的胆囊结石合并率13.27%(15/113)(X2=4.17 P<0.05)。不同性别及不同病变部位的大肠癌组胆囊结石合并率无明显差异。 结论 :提示胆囊结石的长期存在增加了大肠癌发生的危险性。

     

    Abstract: Objective :To study the relationship between cholelithiasis and colorectal cancer. Methods :One hundred ninety-eight cases with colorectal cancer were patients who came from Union Hospital of Fujian Medical University during January of 2002 and August of 2003 and had been pathologically diagnosed.The controls containing 216 cases were healthy check-up personnel that came from the same region and the same period. Cholelithiasis was detected by ultrasound. Their incidences of cholelithiasis were calculated and contrasted, and other factors such as age and sex and the position of cancer were considered respectively. Results :The incidence of cholelithiasis in colorectal cancer group was 17.17,(34/198) and was remarkably higher than 9.26,(20/216) in the control group (X2=5.71 P<0.05).And the difference was influenced by age,in the cases older than 60 years the incidence of cholelithiasis in the two group was significant different 24.04 (25/104) in the colorectal cancer group higher than 13.27Y(15/113) in the control group (X2=4.17 P<0.05),while in the cases younger than 60 years this difference disappeared.In the colorectal cancer group sex and position of cancer would not influence the incidence of cholelithiasis. Conclusions :The results mean that the exist of cholelithiasis was not a isolated illness,its long existence will increase the fatalness of occurrence of colorectal cancer.

     

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