胃镜对虫卵阴性钩虫病的诊断价值

Value of gastroscope in diagnosis of ancylostomiasis patients with egg-negative

目的:探讨胃镜在虫卵阴性钩虫病患者诊断中的应用价值。方法:对临床诊断缺铁性贫血、大便常规钩虫卵阴性的51例患者进行胃镜检查。结果:51例患者经胃镜检查确诊为十二指肠钩虫病,给予复方甲苯咪唑口服、补铁、输血等对症治疗后2个月胃镜复查未见钩虫,血红蛋白升至90～110g/L。结论:对患有贫血、大便检查钩虫卵阴性,疑诊患有钩虫病的患者,应选择进行胃镜检查,对确诊钩虫病有重要价值。

Objective： To explore value of gastroscope in diagnosis of ancylostomiasis patients with eggnegative. Methods： Examined 51 patients with confirmed iron deficiency stool routine with gastroscope. Results： Fifth-one patients were diagnosed anemia but ancylostome egg-negative in as ancylostomiasis duodenale. After 2-month symptomatic treatment including Mebendazole CO administration, iron supplement, blood transfusion and so on, gastroscope examination showed no ancylostome, and hemoglobin level inceased to 90 ～ 110g/L. Conclusion： Gastroscope is a more effective method for suspected ancylostomiasis patients with anemia and egg-negtive in stool routine test. It is definitely valuable for ancylostomiasis diagnosis.