小小石头竟有多副面孔 胆结石的分类全在这里了!

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公开课模版测试文章(编辑别推)

徐智

北京大学第三医院普通外科主任医师

胆结石主要分为哪几类?

1.按化学成分来分,胆结石可分为胆固醇结石和胆色素结石

胆固醇结石存在于胆囊内,主要是黄色或白色,结石中的胆固醇含量大于70%。胆色素结石中的胆固醇含量小于30%,分为棕色色素结石和褐色色素结石。棕色色素结石主要是肝病引起的,而褐色色素结石主要是代谢引起的,比如肝硬化。

2.按解剖结构来分,胆结石主要分为肝内胆管结石、肝外胆管结石和胆囊结石,而人们常说胆结石通常指的是胆囊结石。

小小石头竟有多副面孔 胆结石的分类全在这里了!

胆结石的高发人群主要有哪些?

胆结石的高发人群是根据结石的不同特点来定的,打趣的说法就是胆色素结石是“贫穷病”,胆固醇结石是“富贵病”。

小小石头竟有多副面孔 胆结石的分类全在这里了!

“贫穷病”主要发生在山区、生活比较困难的农村,相对来说,在农村营养、代谢、饮食卫生等方面跟不上,就容易得胆色素结石,而胆色素结石主要是肝内胆管结石。

“富贵病”主要发生在城市。还有就是草原,因为他们的饮食习惯是喝牛奶、吃牛羊肉,吃高脂类食物比较多,也容易得胆固醇结石。

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