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通过内镜刷检细胞学诊断婴幼儿贾第虫病

Diagnosis of giardiasis in infants and children by endoscopic brush cytology.

作者信息

Bendig D W

机构信息

Children's Hospital of Orange County, California.

出版信息

J Pediatr Gastroenterol Nutr. 1989 Feb;8(2):204-6. doi: 10.1097/00005176-198902000-00013.

DOI:10.1097/00005176-198902000-00013
PMID:2651633
Abstract

Eight pediatric patients with presenting symptoms of chronic diarrhea, abdominal cramps, weight loss, and/or recurrent emesis were diagnosed as having giardiasis by duodenal brush cytology. All patients had at least three stool specimens examined for ova and parasites, which failed to reveal Giardia lamblia cysts or trophozoites. In each patient, the small intestinal mucosal biopsies as well failed to reveal giardia. No complications were encountered during any of the procedures. Duodenal brush cytology for giardiasis appears to be a valuable diagnostic adjunct potentially superior to stool examination as well as endoscopic grasp small bowel biopsy.

摘要

8例以慢性腹泻、腹部绞痛、体重减轻和/或反复呕吐为症状的儿科患者经十二指肠刷检细胞学诊断为贾第虫病。所有患者至少有三份粪便标本进行了虫卵和寄生虫检查,均未发现蓝氏贾第鞭毛虫囊肿或滋养体。每位患者的小肠黏膜活检也未发现贾第虫。在任何操作过程中均未出现并发症。十二指肠刷检细胞学检查对贾第虫病似乎是一种有价值的诊断辅助手段,可能优于粪便检查以及内镜下小肠活检。

相似文献

1
Diagnosis of giardiasis in infants and children by endoscopic brush cytology.通过内镜刷检细胞学诊断婴幼儿贾第虫病
J Pediatr Gastroenterol Nutr. 1989 Feb;8(2):204-6. doi: 10.1097/00005176-198902000-00013.
2
Giardiasis: diagnosis by endoscopic brush cytology of the duodenum.贾第虫病:通过十二指肠内镜刷检细胞学进行诊断。
Am J Gastroenterol. 1984 Jul;79(7):517-9.
3
Demonstration of Trophozoites of G. Lamblia in Ileal Mucosal Biopsy Specimens May Reveal Giardiasis in Patients With Significantly Inflamed Parasite-free Duodenal Mucosa.在回肠黏膜活检标本中发现蓝氏贾第鞭毛虫滋养体,可能揭示十二指肠黏膜显著炎症但无寄生虫的患者患有贾第虫病。
Am J Surg Pathol. 2016 Sep;40(9):1280-5. doi: 10.1097/PAS.0000000000000665.
4
Giardiasis in childhood.儿童贾第虫病
Am J Dis Child. 1975 Nov;129(11):1304-10. doi: 10.1001/archpedi.1975.02120480030008.
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[Diagnostic limitations of the isolation of trophozoites of Giardia lamblia in duodenal aspirates].[十二指肠抽吸物中分离蓝氏贾第鞭毛虫滋养体的诊断局限性]
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Brush cytology: an adjunct to diagnostic upper GI endoscopy.
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Diagnostic yield of duodenal aspirate for G. lamblia and comparison to duodenal mucosal biopsies.十二指肠抽吸物对蓝氏贾第鞭毛虫的诊断率及与十二指肠黏膜活检的比较。
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Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas.内镜检查对热带或亚热带地区持续性腹泻患者贾第虫病及其他肠道疾病的诊断价值。
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引用本文的文献

1
Chronic diarrhoea.慢性腹泻
Gut. 2007 Dec;56(12):1756-7. doi: 10.1136/gut.2007.138867.
2
Brush cytology: an adjunct to diagnostic upper GI endoscopy.
Indian J Pediatr. 2001 Jun;68(6):515-8. doi: 10.1007/BF02723244.
3
Prevalence and treatment of giardiasis in chronic diarrhoea and malnutrition.慢性腹泻和营养不良患者中贾第虫病的患病率及治疗情况
Arch Dis Child. 1991 Mar;66(3):304-6. doi: 10.1136/adc.66.3.304.
4
Giardia--diagnosis, clinical course and epidemiology. A review.贾第虫——诊断、临床病程及流行病学。综述。
Epidemiol Infect. 1992 Aug;109(1):1-22.