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目的 探讨十二指肠镜治疗胆道蛔虫病的效果。方法 回顾性分析 1981～ 2 0 0 2年经十二指肠镜治疗 2 0 72例胆道蛔虫病临床资料。结果 119例乳头嵌塞型胆道蛔虫经十二指肠镜取虫 ,成功率 10 0 % ( 119/119) ;195 3例胆管腔内型胆道蛔虫单纯十二指肠镜取虫成功率 87 1% ( 170 1/195 3 ) ,结合ERCP及EST取虫成功率 93 9% ( 92 /98) ,总成功率 92 5 % ( 1912 /2 0 67)。术后急性胆管炎及急性胰腺炎发生率分别为 1 3 % ( 2 6/2 0 72 )及 1 6% ( 3 4/2 0 72 )。结论 经十二指肠镜取虫治疗胆道蛔虫病具有安全、准确、成功率高、创伤小的优点 ,可作为常规治疗技术在蛔虫高发地区推广
Objective To investigate the efficacy of duodenoscopy in the treatment of biliary ascariasis. Methods The clinical data of 272 cases of biliary ascariasis treated by duodenoscopy in 1981 ~ 2002 were retrospectively analyzed. Results One hundred and ninety-nine cases of papillary round-bile ascaris were introduced by duodenoscopy, with a success rate of 10% (119/119). The success rate of 195 cases with cholangio-ascariasis in simple duodenoscopy was 87 1 % (170 1/195 3). The success rate of combining ERCP and EST was 93 9% (92/98) and the total success rate was 92 5% (1912/2 207). Postoperative acute cholangitis and acute pancreatitis occurred in 13% (26/272) and 16% (34/272) cases respectively. Conclusion The treatment of biliary ascariasis by duodenoscopy is safe, accurate, high success rate, small trauma advantages, can be used as a routine treatment technology in the high incidence of Ascaris