期刊论文

Ultrasoundmanifestation of hepatic distomiasis and its clinical outcomes:An analysis of 30 cases

中文

实用肝脏病杂志

1672-5069

2020

23

4

597-600

10.3969/j.issn.1672-5069.2020.04.036

郴州市第一人民医院院长基金资助项目(编号:XD201423)。

本校为第一机构

目的分析和总结肝吸虫病性胆道梗阻的超声检查表现及其对临床治疗的指导价值。方法 2012年1月～2018年11月我院消化内科和普外科收治的30例肝吸虫病性胆道梗阻患者,均接受超声检查。给予患者吡喹酮正规治疗,对驱虫治疗后仍存在胆道梗阻者,行内镜下胆总管切开手术治疗。结果肝吸虫病性胆道梗阻患者胆管管壁增厚,肝内胆管扩张程度均严重,常合并胆总管病变;本组吡喹酮治疗成功率为63. 3%,11例接受手术治疗,均获得成功;治疗前,本组患者血清总胆红素、天冬氨酸氨基转移酶和丙氨酸氨基转移酶水平分别为（56. 1±13. 9）μmol/L、（151. 2±67. 8） U/L和（74. 3±30. 7） U/L,治疗后恢复到【（13. 3±...

Objective The aim of this study was to summarize the ultrasound manifestation of hepatic distomiasis and its clinical outcomes.Methods 30 patients with hepatic distomiasis and common bile duct obstruction were included in this study,and all came from the Department of Gastroenterology and General Surgery in our hospital between January 2012 and November 2018.All patients underwent ultrasonography,and the patients received praziquantel for treatment,and some of them received endoscopic retrograde cholangiao-pancreatography(ERCP)for bile duct obs...