Mohamed A E, Al Karawi M A, Ghandour Z
Department of Gastroenterology, Armed Forces Hospital, Riyadh, Saudi Arabia.
Saudi J Gastroenterol. 1997 Jan;3(1):22-8.
Several parasites infest liver or biliary tree, either during their maturation stages or as adult worms. Bile iry tree parasites may cause pancreatitis, cholecystitis, biliary tree obstruction, recurrent cholangitis, biliary tree strictures and some may lead to cholangiocarcinoma. This review discusses the hepatobiliary parasites, and shows our experience in diagnosis and management of these parasites. Ultrasonography of the liver is diagnostic in schistosomiasis, hydatid cysts, amebic liver abscess, ascariasis and other biliary tree parasites showing bile duct dilatation. Percutaneous aspiration under ultrasonography guidance of hydatid liver cysts or amebic abscess are effective measures in management. Endoscopic retrograde cholangiopancreatography (ERCP) is safe and effective in diagnosis and management of biliary tree parasites.
几种寄生虫在其成熟阶段或作为成虫时会寄生于肝脏或胆管树。胆管树寄生虫可能导致胰腺炎、胆囊炎、胆管梗阻、复发性胆管炎、胆管狭窄，有些还可能导致胆管癌。本综述讨论了肝胆寄生虫，并展示了我们在这些寄生虫诊断和管理方面的经验。肝脏超声检查对血吸虫病、包虫囊肿、阿米巴肝脓肿、蛔虫病和其他显示胆管扩张的胆管树寄生虫具有诊断价值。在超声引导下经皮穿刺抽吸包虫肝囊肿或阿米巴脓肿是有效的治疗措施。内镜逆行胰胆管造影（ERCP）在胆管树寄生虫的诊断和治疗中是安全有效的。
