肝胆B超病理改变与华支睾吸虫感染感染的相关性探讨

发布时间：2018-03-11 05:01

本文选题：华支睾吸虫病　切入点：胆囊　出处：《中国血吸虫病防治杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的探讨肝胆B超病理改变与华支睾吸虫感染的关系,为华支睾吸虫病诊断和治疗提供参考依据。方法对2010年1月至2013年12月,在武宣县人民医院行腹部B超检查发现的疑似华支睾吸虫感染者,采用粪检和酶联免疫法(ELISA)进行华支睾吸虫病原学和血清学检测。结果共检测疑似华支睾吸虫感染者113例,虫卵阳性率为64.60%(73例),血清抗体阳性率为66.37%(75例)。男性虫卵阳性率高于女性,50岁以上年龄组虫卵阳性率高于50岁以下组,差异均有统计学意义(χ2=3.554、6.267,P均0.05)。感染者的肝胆B超病理改变程度与华支睾吸虫感染度呈正相关(χ2=64.952,P0.01)。结论肝胆B超病理改变可能由华支睾吸虫感染引起,B超检查发现肝胆有病理改变者,应进一步进行华支睾吸虫病原学和血清学检测。
[Abstract]:Objective to investigate the relationship between the pathological changes of liver and gallbladder and the infection of clonorchiasis sinensis, and to provide reference for the diagnosis and treatment of clonorchiasis sinensis. Methods from January 2010 to December 2013, the diagnosis and treatment of clonorchiasis sinensis were studied. In Wuxuan County people's Hospital, suspected Clonorchis sinensis infected by abdominal B ultrasound was detected by fecal examination and enzyme linked immunosorbent assay (Elisa). Results 113 cases of suspected Clonorchis sinensis infection were detected. The positive rate of egg was 64.600.The positive rate of serum antibody was 66.370.The positive rate of male eggs was higher than that of females over 50 years old, and the positive rate of serum antibody was higher than that of females over 50 years old. The difference was statistically significant (蠂 ~ (2) 3.554 ~ 6.267 P = 0.050.The pathological changes of liver and bile duct B ultrasound were positively correlated with the infection degree of Clonorchis sinensis (蠂 ~ (2)) 64.952 / P0.01.Conclusion the pathological changes of liver and bile duct B ultrasound may be caused by clonorchiasis sinensis infection, and the pathological changes of liver and gallbladder may be found by B ultrasonic examination. Further detection of etiology and serology of Clonorchis sinensis should be carried out.
【作者单位】：广西壮族自治区武宣县疾病预防控制中心;
【分类号】：R532.23

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