论文部分内容阅读
目的 :探讨细菌L型在胆囊结石、胆囊炎发病中的意义。方法 :应用高渗培养技术对胆囊结石、胆囊炎病例 1 30份的胆囊胆汁标本进行了普通菌及L型菌联合培养。另外对其中胆囊切除标本行革兰染色 ,于光镜油镜下观察。结果 :胆囊疾病组细菌L型总检出率为 59 2 3 % ,对照组为 5 0 % ;各种类型胆囊结石胆汁中 ,以胆色素类结石检出率最高 ,为 88 89% ,其次为混合性胆石 (80 0 % ) ,胆固醇类胆石 (54 84% )和黑色结石 (50 0 % ) ,但各种类型的胆石之间无统计学意义上的差别。多发性结石明显高于单发性结石。 59例胆囊标本的革兰染色阳性率为83 1 % ,细菌L型感染受年龄因素影响 ,随年龄增加 ,其感染率增高。结论 :细菌L型感染在胆囊结石、胆囊炎发生发展中具有重要意义。临床上应重视细菌L型的致病性 ,对细菌L型阳性者应给予相应的治疗
Objective: To investigate the significance of bacterial L-type in the pathogenesis of gallstone and cholecystitis. Methods: One hundred and thirty cases of cholecystolithiasis in cholecystolithiasis and cholecystitis were cultured with common bacteria and L-type bacteria using hypertonic culture technique. In addition to the gallbladder specimens were stained with Gram stain, observed under a light microscope oil microscope. Results: The total detection rate of bacterial L-type in gallbladder disease group was 59 2 3% and that in control group was 50%. The highest detection rate of bile pigment stones was 88 89% in all types of gallstone gallstones, followed by Mixed gallstones (80 0%), cholesterol gallstones (54 84%), and black stones (50 0%) did not show any statistically significant difference between the various types of gallstones. Multiple stones were significantly higher than solitary stones. The positive rate of Gram staining was 83.1% in 59 gallbladder samples. The bacterial L-type infection was affected by age factors. With age, the infection rate was increased. Conclusion: L-type bacterial infection plays an important role in the development of gallstone and cholecystitis. Clinicians should pay attention to the pathogenicity of bacterial L-type, L-positive bacteria should be given the appropriate treatment