Javid G, Wani N, Gulzar G M, Javid O, Khan B, Shah A
Department of Gastroenterology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, India.
Br J Surg. 1999 Dec;86(12):1526-7. doi: 10.1046/j.1365-2168.1999.01289.x.
As many as 1.5 billion people around the world harbour Ascaris lumbricoides in the digestive tract. Gallbladder ascariasis, although less common than bile duct ascariasis, is quite often seen in endemic areas.
Some 1300 patients with hepatobiliary ascariasis, admitted between October 1992 and June 1998, were analysed prospectively. The clinical features and outcome of 56 cases of gallbladder ascariasis are presented.
Forty-seven patients were diagnosed by ultrasonography and nine were diagnosed at laparotomy. Only ten patients diagnosed by ultrasonography expelled the worms spontaneously, with resolution of symptoms and signs. The remaining 37 patients underwent cholecystectomy.
Gallbladder ascariasis is a significant entity in endemic areas which usually requires cholecystectomy.
全球多达15亿人消化道内寄生有蛔虫。胆囊蛔虫病虽不如胆管蛔虫病常见，但在流行地区却相当常见。
对1992年10月至1998年6月间收治的约1300例肝胆蛔虫病患者进行前瞻性分析。本文介绍了56例胆囊蛔虫病的临床特征及治疗结果。
47例经超声检查确诊，9例经剖腹手术确诊。仅10例经超声检查确诊的患者蛔虫自行排出，症状和体征消失。其余37例患者接受了胆囊切除术。
胆囊蛔虫病在流行地区是一个重要病症，通常需要进行胆囊切除术。
