摘要
目的探讨华支睾吸虫致急性胆管炎的诊断与治疗问题。方法回顾分析32例手术中发现华支睾吸虫引起的急性胆管炎的临床特点和治疗结果。结果所有病人均行手术治疗,术中发现有华支睾吸虫,术后痊愈出院,术前检查大便虫卵阳性为18.44%,CT检查怀疑率31.25%。结论在华支睾吸虫流行区,对肝内外胆管无结石的急性胆管炎,应首先考虑有华支睾吸虫引起可能,并采取相应的检查,以提高华支睾吸虫致急性胆管炎的诊断水平,手术治疗华支睾吸虫致急性胆管炎为有效的治疗方法。
Objective To study the diagnosis and treatment of acute cholangitis causing by Clonorchiasis sinensis. Methods We did a retrospective analysis about the clinical feature and therapeutic result of 32 patients. All the patients were proved have a- cute cholangltis causing by Clonorchiasis sinensis at surgery. Results All the patients received operations, were proved have Clonorchiasis sinensiss, and well-healed discharged in the postoperative period. About 18.44% patients were found parasitic egg in sedes in preoperative examination, and about 31.25% patients were suspected by CT scan. Conclusion In the prevalent area, when diagnosing acute cholangitis without calculus of intrahepatic duct or calculus of extrahepafic bile duct, we should consider the existence of Clonorchiasis sinensis at first, and should do some corresponding examinations. Operative treatment is effective when treating acute cholangitis causing by Clonorchiasis sinensis.
出处
《肝胆外科杂志》
2006年第6期423-424,共2页
Journal of Hepatobiliary Surgery
关键词
华支睾吸虫
急性胆管炎
Clonorchiasis sinensis
Acute cholangitis
