| 内镜与手术中肝总管胆汁细菌培养对比研究--附59例分析 |
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| 引用本文： | 孙竹峰,万柳华,黄东平,张光金,凌小琳,胡海强. 内镜与手术中肝总管胆汁细菌培养对比研究--附59例分析[J]. 中国内镜杂志, 2003, 9(9): 43-45,54 |
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| 作者姓名： | 孙竹峰 万柳华 黄东平 张光金 凌小琳 胡海强 |
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| 作者单位： | 1. 上海市普陀区人民医院外科,200060
2. 上海市普陀区人民医院检验科,200060 |
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| 摘 要： | 目的 :通过对内镜与术中肝管胆汁细菌培养和药敏试验的结果进行对比研究 ,以明确前者在指导临床应用抗菌药物的价值。方法 :以感染严重评分 (SSS) <3 0和感染评分 (SS) <10作为入选条件 (Psss=0 .42 6,Pss=0 .52 9) ,分为内镜组 (n =3 1)和手术组 (n =2 8) ,内镜组经肝管插管获取胆汁 ,手术组经穿刺肝管获取胆汁 ,立即进行细菌培养和药敏测试 ,对结果进行对比分析。结果 :对比内镜组与手术组的阳性率 (P =0 .510 6) ,革兰阴性菌菌株分布 (P =0 .43 4 ) ,革兰阳性菌分布 (P =0 .860 )。革兰阴性菌药物敏感 (P =0 .644) ,中度敏感(P =0 .3 72 )。革兰阳性菌药物敏感 (P =0 .668) ,中度敏感 (P =0 .3 90 )。P值均大于 0 .0 5,两组没有统计学差异。结论 :通过内镜取材进行细菌培养可以正确反映胆管内细菌学状况 ,不应轻易放弃并值得推广
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| 关 键 词： | 十二指肠内镜检查 细菌培养 药敏试验 肝管胆汁 |
ACTERIOLOGY COMPARE STUDY ABOUT THE BILE FROM LIVER COMMON BILE DUCT BOTH IN ERCP AND OPERATION |
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| Sun Zhufeng,Wuan Liuhua,Huang Dongping,et al.. ACTERIOLOGY COMPARE STUDY ABOUT THE BILE FROM LIVER COMMON BILE DUCT BOTH IN ERCP AND OPERATION[J]. China Journal of Endoscopy, 2003, 9(9): 43-45,54 |
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| Authors: | Sun Zhufeng Wuan Liuhua Huang Dongping et al. |
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| Affiliation: | Sun Zhufeng,Wuan Liuhua,Huang Dongping,et al.Shanghai Pu Tuo District People Hosptal,Shanghai 200060 |
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| Abstract: | Objective:This prospective study was performed t o use antibiotics basis on the bacterio-culture of bile from liver common bile d uct in ERCP, it was correct or not.Methods:We made a bacterio-culture of bile of 59 patients who un derwent cholecystectomy or ERCP.Based on SSS<30 (septic severity score) and SS<1 0 (sepsis score). Endoscopy group was 31, operation group was 28. Then we analyz ed the bacteriology data. Results:No statistical differences were observed between endosco py group and operation group. Conclusion:From this study, we conclude that the bacterio-cultu re of bile should be done in ERCP and hope to generalize it. |
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| Keywords: | ERCP Bacteriology |
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