胆管结石病人在间歇期和胆肠吻合术后的胆汁细菌构成分析

BILE BACTERIAL CONSTITUTION IN THE PATIENTS WITH BILIARY CALCULUS IN INTERMISSION AND AFTER CHOLANGIOJEJUNOSTOMY

目的探讨胆管结石病人在间歇期和胆肠吻合后的胆汁细菌构成特点。方法３２例胆管结石病人，获取其间歇期胆汁和胆管空肠吻合术后胆汁作细菌培养。结果３２份间歇期胆汁１８份检出细菌，其中大肠杆菌８株、肺炎杆菌５株、变形杆菌３株、沙雷氏菌３株、粪链球菌２株、其它细菌２株。３２份术后胆汁均检出细菌，其中大肠杆菌１７株、绿脓杆菌１０株、肺炎杆菌８株、变形杆菌７株、沙雷氏菌５株、其它细菌７株。术前间歇时间不同的病人胆汁细菌检出率的组间差异显著，胆管炎发作次数不同的病人胆汁细菌检出率的组间差异不显著。结论在胆汁细菌的检出率和构成比方面，沙雷氏菌已成为常见细菌。胆汁细菌检出率与间歇时间有关。

Objective To explore the bile bacterial constitution feature in the patients with biliaty calculus in intermission and after cholangiojejunostomy. Methods The bile of 32 patients with chololithiasis during intermission and after cholangiojejunostomy was obtained and the bile bacterial culture was performed. Results Bacteria could be found in 18 sample of the intermission bile including 8 Eschrichia,5 Pneumonobacilli,3 Proteus,3 Serratia and 2 streptococcus faecalis,2 strain of other bacteria.All of the postoperative biles had bacteria,including 17 Eschrichia,10 Pseudomonas aeruginosa,8 Pneumonobacili,7 Proteus,5 Serratia and 7 strain other bacteria.The bile bacterial detectable ratd (BBDR)Was significantly different in three groups of patients who were divided by the preoperative asymptomatic interval,but no significant difference if the patients were divided by the preoperative cholangitis attack frequency. Conclusion Serratia became a common bacterium in BBDR and constituent ratio.BBDR was related