胆道蛔虫病的内镜诊断和治疗体会

Diagnosis and treatment of biliary tract roundworm disease with endoscopy

目的探讨采用内镜诊断胆道蛔虫病的价值。方法采用纤维(电子)胃十二指肠镜、纤维胆道镜直视下诊断与治疗胆道蛔虫病32例。结果32例患者均经内镜直视下或胆管直接造影明确诊断,32条胆道蛔虫被全部取出,无1例并发症。结论内镜下对胆道蛔虫病的诊断与治疗具有准确率高、治疗效果确实可靠\能迅速消除患者痛苦等优点。

Objective To evaluate the value of endoscopy in the diagnosis of biliary tract roundworm disease. Methods 32 cases of biliary tract roundworm diseases were diagnosed and treated with fibre （electron） stomach duodenum endoscopy and fibre biliary tract endoscopy under the direct-view. Results 32 cases were all clearly diagnosed and the worms were taken out with direct-view en doscopy or direct cholangiography with no complications. Conclusion Endoscopy is effective and accurate for the biliary tract roundworm disease and has the advantage of rapidly dispelling the sufferings of the patients.