华支睾吸虫感染与肝胆胰外科疾病的关系(附650例临床分析)  

Relationship between infection of Clonorchis sinensis and hepatobiliary and pancreatic diseases

作　　者：杨六成[1] 黄宝裕 薛桂芳[1] 李晓林[1] 莫顶立 

机构地区：[1]顺德市容奇医院普外科,广东省528303

出　　处：《中华肝胆外科杂志》2004年第3期165-166,共2页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　探讨华支睾吸虫感染者发生肝胆胰外科疾病的情况 ,提高对该寄生虫病诊断和治疗的认识。方法　回顾 6 5 0例华支睾吸虫感染者的临床资料 ,分析其合并肝胆胰外科疾病的情况。结果　 32 4例 (4 9 85 % )合并有肝胆胰外科疾病 ,胆道疾病 2 89例 ,占合并症的 89 2 % ,肝脏疾病 19例(5 87% ) ,胰腺疾病 16例 (4 94 % )。单病种最多的是胆石症 184例 (5 6 8% )。全组中 15 1例(2 3 2 3% )实施了手术治疗 ,2 2例实施了内镜下十二指肠乳头括约肌切开术 (EST)治疗。结论　华支睾吸虫感染是流行区肝胆胰外科疾病的最主要致病因素 ,以胆道疾病 ,尤其是胆石症最多见。Objective To investigate the concomitant hepatobiliary and pancreatic diseases related to Clonorchis sinensis and explore their diagnosis and treatment. Methods The clinical data of 650 patients with Clonorchiosis treated in our hospital were retrospectively analyzed to determine the condition of concomitant hepatobiliary and pancreatic surgery diseases. Results Of the 650 patients, 324 (49.85%) had the concomitant surgical diseases. Amongst these 324 patients, 289 (89.2%) had the biliary diseases, 19 (5.87%) hepatic diseases and 16 (4.94%) pancreatic diseases. The highest number of patients with the single disease of cholecystolithiasis was 184 (56.8%). Of all the 650 patients, 151 (23.3%) received operations and 22 were treated by endoscopic sphincterotomy. Conclusions Infection by Clonorchis sinensis plays a critical role in pathogenesis of hepatobiliary and pancreatic surgery diseases in endemic areas. The most common are biliary diseases, especially cholecystolithiasis.

关 键 词：华支睾吸虫感染 肝胆胰外科疾病 临床分析 诊断 治疗 

分 类 号：R657.4[医药卫生—外科学]