CAJ | 학술논문

目的：观察十二指肠镜下保留乳头括约肌功能治疗胆道蛔虫病的疗效，并探讨此方法作为治疗胆道蛔虫病首选方法的可行性。方法回顾性分析2007－2013年间经十二指肠镜在保留患者乳头括约肌功能的情况下治疗69例胆道蛔虫病患者的临床资料。结果69例胆道蛔虫病患者保留了十二指肠乳头括约肌功能，胆道蛔虫均顺利取出，2～3 d患者出院，术后常规驱虫治疗，无急性胰腺炎、出血、穿孔等并发症。结论十二指肠镜下保留患者乳头括约肌功能治疗胆道蛔虫病安全、疗效显著、手术并发症少，应考虑作为治疗胆道蛔虫病的首选治疗方法。
목적：관찰십이지장경하보류유두괄약기공능치료담도회충병적료효，병탐토차방법작위치료담도회충병수선방법적가행성。방법회고성분석2007－2013년간경십이지장경재보류환자유두괄약기공능적정황하치료69례담도회충병환자적림상자료。결과69례담도회충병환자보류료십이지장유두괄약기공능，담도회충균순리취출，2～3 d환자출원，술후상규구충치료，무급성이선염、출혈、천공등병발증。결론십이지장경하보류환자유두괄약기공능치료담도회충병안전、료효현저、수술병발증소，응고필작위치료담도회충병적수선치료방법。
Objective To observe the efficacy of duodenoscopic treatment of biliary ascariasis while preserving the function of the duodenal sphincter and to explore the feasibility of this technique as the preferred method for treatment of biliary ascariasis.Methods A retrospective analysis was performed on the clinical data of 69 patients with biliary ascariasis who received duodenoscopic treatment while preserving the function of the duodenal sphincter in our department from 2007 to 2013.Results All the 69 patients with biliary ascariasis not only pre-served the function of the duodenal sphincter,but also had the biliary ascarids successfully removed.The patients were discharged 2-3 days later and then received conventional helminthic treatment.No patients developed complications such as acute pancreatitis,bleeding,and perforation.Conclusion Duodenoscopic treatment of biliary ascariasis while preserving the function of the duodenal sphincter is safe and ef-fective and causes fewer surgical complications,so it should be considered as the preferred method for treatment of biliary ascariasis.