国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2013年
5期
278-280
,共3页
蔡洪英%乔铁%罗小兵%邓纯敏
蔡洪英%喬鐵%囉小兵%鄧純敏
채홍영%교철%라소병%산순민
胆囊结石%胆汁%华支睾吸虫%虫卵%病理诊断
膽囊結石%膽汁%華支睪吸蟲%蟲卵%病理診斷
담낭결석%담즙%화지고흡충%충란%병리진단
Gallbladder stones%Bile%Clonorchis sinensis%Eggs%Pathological diagnosis
目的 探讨胆囊结石联合胆汁病理检查诊断胆囊结石患者合并华支睾吸虫感染的可行性.方法 采用粪便直接涂片、胆汁离心镜检和胆囊结石病理切片镜检等方法,检查350例胆囊结石患者的粪便、胆汁和结石标本中的华支睾吸虫虫卵,分析3种方法的检出率. 结果 粪便直接涂片法、胆汁离心镜检和胆囊结石病理切片镜检华支睾吸虫虫卵的检出率分别为29.4％ (103/350)、41.5％ (145/350)和44.2％(155/350).与胆汁离心镜检法相比,粪便直接涂片法检出率最低(x2=11.05,P＜0.05),胆囊结石病理切片镜检的检出率差异无统计学意义(x2＝0.583,P＞ 0.05).胆汁、胆石联合检出率为67.7％ (237/350),明显高于其它方法(x2=48.77,P＜0.05). 结论 胆囊结石与胆汁联合病理检查虫卵可提高胆囊结石患者感染华支睾吸虫的诊断率.
目的 探討膽囊結石聯閤膽汁病理檢查診斷膽囊結石患者閤併華支睪吸蟲感染的可行性.方法 採用糞便直接塗片、膽汁離心鏡檢和膽囊結石病理切片鏡檢等方法,檢查350例膽囊結石患者的糞便、膽汁和結石標本中的華支睪吸蟲蟲卵,分析3種方法的檢齣率. 結果 糞便直接塗片法、膽汁離心鏡檢和膽囊結石病理切片鏡檢華支睪吸蟲蟲卵的檢齣率分彆為29.4％ (103/350)、41.5％ (145/350)和44.2％(155/350).與膽汁離心鏡檢法相比,糞便直接塗片法檢齣率最低(x2=11.05,P＜0.05),膽囊結石病理切片鏡檢的檢齣率差異無統計學意義(x2＝0.583,P＞ 0.05).膽汁、膽石聯閤檢齣率為67.7％ (237/350),明顯高于其它方法(x2=48.77,P＜0.05). 結論 膽囊結石與膽汁聯閤病理檢查蟲卵可提高膽囊結石患者感染華支睪吸蟲的診斷率.
목적 탐토담낭결석연합담즙병리검사진단담낭결석환자합병화지고흡충감염적가행성.방법 채용분편직접도편、담즙리심경검화담낭결석병리절편경검등방법,검사350례담낭결석환자적분편、담즙화결석표본중적화지고흡충충란,분석3충방법적검출솔. 결과 분편직접도편법、담즙리심경검화담낭결석병리절편경검화지고흡충충란적검출솔분별위29.4％ (103/350)、41.5％ (145/350)화44.2％(155/350).여담즙리심경검법상비,분편직접도편법검출솔최저(x2=11.05,P＜0.05),담낭결석병리절편경검적검출솔차이무통계학의의(x2＝0.583,P＞ 0.05).담즙、담석연합검출솔위67.7％ (237/350),명현고우기타방법(x2=48.77,P＜0.05). 결론 담낭결석여담즙연합병리검사충란가제고담낭결석환자감염화지고흡충적진단솔.
Objective To investigate the value of the combined pathological examination on gallbladder stones and bile to diagnose Clonorchis sinensis infection in gallstone patients.Methods A total of 350 patients with gallstones was enrolled in this study.Their stool,bile and gallbladder stones were collected to detect C.sinensis eggs using fecal direct smear,microscopical examination on bile centrifugal sediment and gallstone slices respectively.The detection rate of above several methods was analyzed and compared.Results the detection rates of C.sinensis eggs using fecal direct smear,microscopical examination on bile centrifugation sediment and gallstone slices were of 29.4％(103/350),41.5％ (145/350) and 44.2％ (155/350) respectively; The detection rate of feces direct smear was the lowest (x2=l 1.05,P＜0.05),while the rate of bile centrifugation microscopical examination had no difference with that of gallstone slices microscopical examination (x2=0.583,P＞0.05),but the rate of 67.7％(237/350) of the combined examination on gallstone slices and bile was significantly higher than that of the other methods(x2=48.77,P＜0.05).Conclusion The combined examination on gallstone slices and bile for C.sinensis eggs detection can improve the diagnosis in gallstone patients infected with C sinesis infection.
