中国寄生虫学与寄生虫病杂志 ›› 1993, Vol. 11 ›› Issue (3): 215-218.

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肝包虫病1314例的临床分析

徐明谦   

  1. 卫生部包虫病防治培训基地临床部新疆维吾尔自治区人民医院包虫病研究室
  • 收稿日期:2017-01-06 修回日期:2017-01-06 出版日期:1993-08-31 发布日期:2017-01-06

CLINICAL ANALYSIS OF 1314 CASES WITH HEPATIC HYDATIDOSIS

  • Received:2017-01-06 Revised:2017-01-06 Online:1993-08-31 Published:2017-01-06

摘要: 本文报道近40年期间经手术治疗肝包虫病1 314 例的临床分析及诊断方法的发展。本病多发于青少年,包虫生长缓慢,早期无明显症状。在70年代以前主要以触诊包虫囊肿的特殊体征与皮内试验为诊断方法,因之早期诊断率较低,甚至发生并发症有时仍被误诊,本组并发感染占20.2%,并发破裂9.9%,合并门静脉高压症2.4%,并发过敏性休克 1.9%,皆引起严重后果。随着诊断仪器的发展,应用超声波探查、核素扫描、X线特殊造影、CT 扫描及免疫试验等方法,不仅可发现无症状的带虫者,提高早期诊断率达 100%,并可检测出包虫囊肿的病理形态及各类并发症的病理改变,从而施行早期手术及优选最佳手术方案,提高治愈率。

关键词: 包虫病, 免疫诊断, 核素扫描, 超声探查, CT扫描

Abstract: One thousand three hundred and fourteen cases of hepatic hydatidosis confirmed by surgical operation were analysed. Most of them contracted this disease in childhood,and hydatid cysts developed slowly without eliciting distinct symptoms until the occurrence of complications. The chief complaint was abdominal mass with pain in the right hypochondrium. The main complications in 1 314 patients were shown to be secondary bacterial infection of hydatid cysts (20. 2%),cyst rupture(9. 9%),portal hypertension (2. 4%)and anaphylactic reaction (1. 9%). By employing the advanced diagnostic technique especially the combined use of ultrasonography,roentgenography,CT scanning and seroimmunological diagnosis,the percentage of preoperative diagnosis might be raised to as high as 100%.