序贯治疗胆道蛔虫病19例

Sequential therapy for biliary ascariasis in 19 cases

目的 提高非手术治疗胆道蛔虫病的疗效,缩短疗程,避免或减少手术等有创治疗.方法 序贯治疗：静推维生素C→口服酸性物→驱蛔虫.结果 19例胆道蛔虫病人,15例1疗程治愈,2例2疗程,1例3疗程,1例无效.结论 序贯治疗胆道蛔虫起效快,疗效确定,方法简便易行,可避免或减少手术等有创治疗.

Objective To improve the curative effect of non-invasive therapy for biliary ascariasis to shorten the course of treatment and minimize the chance of invasive managements such as surgery and endoscopic therapy. Methods The sequential therapy was conducted as： intravenous injection of vitamin C → oral administration of acid drug → expel the worm in the biliary tract. Results For the 19 cases of biliary ascariasis, 15 responded to the conservative treatment after one course of treatment,2 responded to it after two courses, 1 after 3 courses and 1 did not. Conclusion Sequential therapy is effective, convenient and simple for biliary ascariasis and it can reduce the chance of invasive management.