外科治疗合并华支睾吸虫感染的胆道疾病125例  

Surgical treatment for biliary tract diseases with clonorchiasis in 125 patients

作　　者：杨六成[1] 黄宝裕 薛桂芳[1] 李晓林[1] 何佐邦 莫顶立 

机构地区：[1]广东省顺德市容奇医院外科,528303

出　　处：《消化外科》2003年第2期138-140,共3页Journal of Digestive Surgery

摘　　要：目的　探讨外科治疗合并华枝睾吸虫感染的胆道疾病特点。方法　回顾 1997年 1月至 2 0 0 1年 12月手术或内镜治疗的合并华枝睾吸虫感染的胆道疾病 12 5例 ,良性病变 10 7例(85 .6 % ) ,恶性病变 18例 (14 .4 % ) ,合并重症胆管炎 (ACST) 2 1例 (16 .8% ) ,合并梗阻性黄疸 6 3例 (5 0 .4 % ) ,急诊手术 4 2例 (33.6 % )。手术方式以胆囊切除、胆总管探查和内镜下十二指肠乳头括约肌切开术 (EST)为主。结果　良性病变中 1例死于术后ACST ,5例结石复发 2次手术。恶性病变中围手术期死亡 3例 ,生存期 3个月至 2年。结论　不仅华支睾吸虫本身可引起胆道外科疾病 ,而且引起一系列合并症 。Objective To evaluate the effectiveness of surgical treatment for the biliary tract diseases with chonorchiasis. Methods 125 cases between Jan. 1997 and Dec. 2001 were reviewed retrospectively. 107 cases (85.6%) had benign diseases, 18 (14.4%) malignant diseases, 21 (16.8%) coexistent acute cholangitis severe type (ACST), 63 (50.4%) concomitant obstructive jaundice. 42 cases (33.6%) underwent emergency operation. The main operative procedures were cholecystectomy, exploration of common bile duct and endoscopic sphincterotomy (EST). Results 1 case with benign diseases died of postoperative ACST, 5 cases were reoperated on because of lithiasis recurrence. 3 cases with malignant diseases died during the perioperative period. The survival time ranged from 2 months to 2 years. Conclusions Clonorchiasis sinensis can not only cause biliary tract diseases, but also induce a series of complications. Surgical proceduce and treatment for clonorchiasis sinensis should be emphasized as well.

关 键 词：外科治疗 华支睾吸虫 胆管疾病 胆结石 

分 类 号：R657.4[医药卫生—外科学] R532.23[医药卫生—临床医学]