经内镜逆行胆胰管造影诊治胆道蛔虫症的疗效观察.doc

精品论文 参考文献 经内镜逆行胆胰管造影诊治胆道蛔虫症的疗效观察 金玉 　　（公安部消防局门诊部 北京 100054） 　　【摘要】目的：观察经内镜逆行胆胰管造影术诊治胆道蛔虫症的疗效。方法：将在我院消化内科就诊的84例胆道蛔虫症患者随机分为观察组和对照组，分别采用内镜下逆行胰胆管造影进行诊治和口服硫酸镁及左旋咪唑治疗，观察有效率及复发率。结果：观察组总有效率高于对照组 (P＜0.05)。观察组复发率低于对照组 (P＜0.05)。结论：经内镜逆行胆胰管造影诊治胆道蛔虫症疗效好，复发率低，值得在临床上推广应用。 　　【关键词】经内镜逆行胆胰管造影；胆道蛔虫症；疗效 　　【中图分类号】R532.11 【文献标识码】A 【文章编号】2095-1752（2015）05-0076-02 　　After endoscopic retrograde biliary pancreatic duct imaging diagnosis and curative effect observation of biliary tract roundworm disease Jin Yu. The Ministry of Public Security fire department outpatient department, Beijing 100054, China 　　【Abstract】Objective Observe the endoscopic retrograde biliary pancreatic duct angiography diagnosis and treatment of biliary tract roundworm disease curative effect. Methods Will be in our digestive internal medicine clinic of 84 cases of biliary tract roundworm disease patients were randomly divided into observation group and control group, respectively, using endoscopic retrograde pancreatic angiography to make a diagnosis and give treatment and treatment of oral magnesium sulfate and levamisole observation efficiently and the recurrence rate. Results Observation group total effective rate was higher than control group (P lt; 0.05). Observation group recurrence rate is lower than the control group (P lt; 0.05). Conclusions After endoscopic retrograde biliary imaging diagnosis and treatment of the pancreatic duct biliary tract roundworm disease good curative effect, the recurrence rate is low, is worth popularization and application in clinic. 　　【Key words】The endoscopic retrograde biliary imaging of the pancreatic duct; Biliary tract roundworm disease; The curative effect 　　胆道蛔虫症是指肠道的蛔虫经十二指肠逆行进入胆道，引起胆管和奥狄括约肌痉挛，从而表现为突发上腹部疼痛为主要症状的急性疾病。多发于儿童和青壮年[1]。由于胆??蛔虫症可引起胆结石、胆道感染，继而并发感染性胆管炎、肝脓肿、胆道狭窄和胆源性胰腺炎等疾病，因此，早期准确诊断和治疗就显得非常重要。近年来，笔者通过使用内镜下逆行胰胆管造影（ERCP）技术诊治胆道蛔虫症，疗效满意，现报告如下。 　　1.临床资料 　　1.1 一般资料 　　选择自2009年1月-2013年8月在我院消化内科就诊的胆道蛔虫症84例患者做为研究对象，所有患者均通过询问病史、查体、B超实验室检查得到确诊。排除胆胰管瘘、肝胆胰腺