ERCP在胆总管结石患者胆汁细菌学研究中的价值
逆行胰胆管造影;胆总管结石;胆汁;细菌,吴汉平,康生朝,张方信,马强,通讯作者:,Clinicalsignificanceofendoscopicretrogradecholangiopancreatographyforbacteriological
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吴汉平, 康生朝, 张方信, 马强, 兰州军区兰州总医院消化内科 甘肃省兰州市 730050
通讯作者: 吴汉平, 730050, 甘肃省兰州市, 兰州军区兰州总医院消化内科. wuhanp@yahoo.com.cn
电话: 0931-8975243
收稿日期: 2007-02-04 接受日期: 2007-03-17
Clinical significance of endoscopic retrograde cholangiopancreatography for bacteriological study of bile in patients with choledocholithiasis
Han-Ping Wu, Sheng-Chao Kang, Fang-Xin Zhang, Qiang Ma
Han-Ping Wu, Sheng-Chao Kang, Fang-Xin Zhang, Qiang Ma, Department of Gastroenterology, Lanzhou General Hospital of Chinese PLA, Lanzhou 730050, Gansu Province, China
Correspondence to: Han-Ping Wu, Department of Gastroenterology, Lanzhou General Hospital of Chinese PLA, Lanzhou 730050, Gansu Province, China. wuhanp@yahoo.com.cn
Received: 2007-02-04 Accepted: 2007-03-17
Abstract
AIM: To discuss the reliability of endoscopic retrograde cholangiopancreatography (ERCP) in a bacteriological study of cholendochal bile and to study the bacterial category and antibiotic susceptibility in bile of choledocholithiasis patients in the Lanzhou area.
METHODS: Bile was aspirated by ERCP in 36 choledocholithiasis patients and 11 non-stone control patients to assess bacterial category and antibiotic susceptibility.
RESULTS: Twenty-nine strains of bacteria were found in 25 (69.4%) of the choledocholithiasis patients and 1 (9.1%) patient in the non-stone control group. Twenty-three of the 29 strains (79.3%) were gram-negative, including Escherichia coli (14), Klebsiella pneumoniae (5) and aeruginosum (3). Six strains were Gram-positive (20.7%). With respect to antibiotics, gram-negative bacilli were sensitive to imipenem (23/23, 100%), ceftazidime (21/23, 91 ......
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