胆道蛔虫病对胆管结石成份的影响及其意义

THE CHANGE OF THE ELEMENTS OF CHOLEDOCHOLITH AND ITS EFFECTS IN BILIARY ASCARISIS

探讨胆道内蛔虫（包括虫卵和残留虫体），除有成核作用外，是否对结石的成份含量有影响。检测59例蛔虫核心结石（以下称蛔虫结石）和50例无蛔虫核心结石（以下称非蛔虫结石）中胆固醇、胆红素、卵磷脂的含量。结果表明，蛔回结石组，其胆固醇显著低于非蛔结石组的含量（P＜0．05），而其胆红素显著高于非蛔虫组（P＜0．01），卵磷脂的含量无明显改变。表明胆道蛔虫不仅有成核作用。

In order to investigate whether binary ascaris (included the ova of ascaris and the remnants of ascaris )affects theconcentration of the three maior elements or not exception of its nucleation,we determined the concentration of cholesterol,bilirubin and lecithin in 59 ascaris stones (called AS)and 50 none ascaris stones(called NAS) respectively. As a result,there is significantdiferrence between the concentration of cholesterol and bilirubin in two groups,but lecithin in two groups has no difference. Theconcentration of cholesterol in AS is much lower than that of NAS(P<0. 05),but the concentration of bilirubin in AS is much higher than that of NAS (p<0. 01). Thus,biliary ascaris not only can nucleate but also can affect the concentration of elements ofcholedocholith. And the imbalance of local immune function leads to this discrepancy.