肝胆B超病理改变与华支睾吸虫感染感染的相关性探讨  

Discussion on relationship between hepatobiliary pathological changes under B-ultrasound and Clonorchis sinensis infection

作　　者：梁致成 邱守中 罗立旋 

机构地区：[1]广西壮族自治区武宣县疾病预防控制中心,武宣545900

出　　处：《中国血吸虫病防治杂志》2015年第6期631-633,共3页Chinese Journal of Schistosomiasis Control

摘　　要：目的探讨肝胆B超病理改变与华支睾吸虫感染的关系,为华支睾吸虫病诊断和治疗提供参考依据。方法对2010年1月至2013年12月,在武宣县人民医院行腹部B超检查发现的疑似华支睾吸虫感染者,采用粪检和酶联免疫法(ELISA)进行华支睾吸虫病原学和血清学检测。结果共检测疑似华支睾吸虫感染者113例,虫卵阳性率为64.60%(73例),血清抗体阳性率为66.37%(75例)。男性虫卵阳性率高于女性,50岁以上年龄组虫卵阳性率高于50岁以下组,差异均有统计学意义(χ2=3.554、6.267,P均<0.05)。感染者的肝胆B超病理改变程度与华支睾吸虫感染度呈正相关(χ2=64.952,P<0.01)。结论肝胆B超病理改变可能由华支睾吸虫感染引起,B超检查发现肝胆有病理改变者,应进一步进行华支睾吸虫病原学和血清学检测。Objective To explore the relationship between the hepatobiliary pathological changes under B-ultrasound exami- nations and Clonorchis sinensis infection, so as to provide the evidence for further prevention and control. Methods The stool test and ELISA were applied to test the pathogeny and antibody to C. sinensis of the suspicious patients who had the hepatobiliary pathological changes under B-uhrasound examinations in People＇s Hospital of Wuxuan County from Jan. 2010 to Dee. 2013. Re- suits Totally 113 suspicious patients of C. sinensis infection were investigated, and the positive rates of egg and serum antibody were 64.60% （73 cases） and 66.37% （75 cases） respectively. The positive rates of the male and those aged ≥ 50 years were sig- nificantly higher than those of the female and the cases younger than 50 years respectively （ x2 = 3.554, 6.267, both P 〈 0.05）. In the C. sinensis infected patients, the degree of pathological changes of hepatobiliary was positively correlated with the infecti- osity of C. sinensis （ x2 = 64.952 ,P 〈 0.01 ）. Conclusion The hepatobiliary pathological changes under B-ultrasound examina- tions may be resulted from the infection of C. sinensis, and the patients with the changes should be further investigated for the pathogen and antibody to C. sinensis.

关 键 词：华支睾吸虫病 胆囊 B超 病理改变 

分 类 号：R383.22[医药卫生—医学寄生虫学]