华枝睾吸虫胆道梗阻术后胆道引流特点分析

Analysis of feature of drainage for biliary tract obstruction in chlonorchiasis patients after operation

目的探讨华枝睾吸虫感染的胆道梗阻性疾病外科治疗后胆道引流的特点。方法2001年1月-2004年12月外科治疗华枝睾吸虫感染致胆道梗阻性疾病68例，调查手术后胆道引流管的放置时间、胆汁流量、闭管时间、拔管指征以厦预后追踪等情况。结果68例胆道梗阻患者全部为华枝睾吸虫感染所致，2例伴有恶性病变，2倒伴有重症胆管炎（ACST），急诊手术32例（47％）。手术后平均胆道引流管放置时间（26．3±3．1）d，3例结石复发2次手术。结论华枝睾吸虫感染引起的胆道梗阻性疾病，手术后胆道引流管放置时间相对要长，配合驱虫治疗十分必要．必须反复检测胆汁内无虫卵排出方可拔除引流管。

Objective To discuss the drainage trait after surgical therapy for the biliary tract obstruction with clonorchiasis sinensis. Methods The time of laying drainpipe aside and closing, bile volume, the factor of pulling drainpipe out and circumstances after recovery in 68 cases between Jan 2001 and Dec 2004 were surveyed. Results 68 cases with the biliary tract obstruction diseases were all infected with Clonorchis sinensis, 2 cases with malignant diseases, 2 cases with severe cholangitis （ACST）, 32 cases （47.0%） underwent emergency operation. The average time of laying drainpipe aside was 26.3 ± 3.1 days. 3 case was reoperated due to recurrence of lithiasis. Conclusion The duration of laying drainage for treatment of biliary tract obstruction due to Clonorehis sinensis infection , be relatively longer and Treatment with effective drugs is quite necessary. In addition, repeated detection of bile juice for eggs of Clonorchis sinensis be performed before removing the drainage.