胆道包虫病的内镜治疗
Endoscopic management of biliary hydatid disease.
作者信息
Akkiz H, Akinoglu A, Colakoglu S, Demiryürek H, Yagmur O
机构信息
Department of Gastroenterology, Cukurova University Medical Faculty, Balcali Hospital, Adana, Turkey.
出版信息
Can J Surg. 1996 Aug;39(4):287-92.
OBJECTIVE
To determine the effect of endoscopic sphincterotomy in the management of biliary hydatid disease.
DESIGN
A case study between January 1992 and December 1994.
SETTING
A university-affiliated hospital in Adana, Turkey.
PATIENTS
Five patients with biliary hydatid disease, in which the cyst had ruptured into the biliary tree. The follow-up ranged from 3 to 12 months.
INTERVENTIONS
Endoscopic sphincterotomy.
MAIN OUTCOME MEASURES
Morbidity, morality and recurrence of the disease.
RESULTS
All patients underwent successful endoscopic sphincterotomy, including removal of daughter cysts. During the follow-up period, ultrasonography and laboratory investigations showed complete cure in all patients. There were no complications due to endoscopic sphincterotomy.
CONCLUSION
Endoscopic sphincterotomy is the treatment of choice for the management of hydatid cysts that have ruptured into the biliary tract causing obstructive jaundice.
目的
确定内镜下括约肌切开术在处理胆管棘球蚴病中的效果。
设计
1992年1月至1994年12月的一项病例研究。
地点
土耳其阿达纳的一家大学附属医院。
患者
5例胆管棘球蚴病患者，囊肿已破入胆管树。随访时间为3至12个月。
干预措施
内镜下括约肌切开术。
主要观察指标
发病率、死亡率和疾病复发情况。
结果
所有患者均成功接受了内镜下括约肌切开术，包括摘除子囊。在随访期间，超声检查和实验室检查显示所有患者均完全治愈。内镜下括约肌切开术未引起并发症。
结论
内镜下括约肌切开术是治疗已破入胆管引起梗阻性黄疸的棘球蚴囊肿的首选治疗方法。
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