收稿日期: 2019-11-08
网络出版日期: 2020-09-09
基金资助
国家重点研发计划(2017YFC0909900);青海省科技厅项目(2019-SF-131);青海省卫生计生委指导性重点项目(2016-wjzd-04)
Retrospective epidemiological analysis of 1 917 cases of hepatic echinococcosis diagnosed by ultrasonography in Qinghai Province, China
Received date: 2019-11-08
Online published: 2020-09-09
Supported by
National key R & D plan(2017YFC0909900);Project of Science and Technology Department of Qinghai Province(2019-SF-131);Guiding key projects of Qinghai health and Family Planning Commission(2016-wjzd-04)
分析超声诊断的1 917例青海省肝棘球蚴病病例,了解当地肝棘球蚴病的分型特点及流行特征,为防治及效果评价提供依据。收集青海大学附属医院2013年1月至2019年3月腹部超声诊断为肝棘球蚴病的1 917例病例的主要信息,利用SPSS 19.0软件对不同类型、性别、年龄、民族的肝棘球蚴病患者数量进行χ 2检验分析。1 917例肝棘球蚴病病例中,细粒、多房、混合棘球蚴病患者人数分别为1 041例（占54.3%）、867例（占45.2%）、9例（占0.5%）,差异有统计学意义（P < 0.05）。男、女性肝棘球蚴病患者人数分别为914例（占47.7%）和1 003例（占52.3%）,差异无统计学意义（P > 0.05）;0~19岁、20~39岁、40~59岁和≥ 60岁肝棘球蚴病患者人数分别为148例（占7.7%）、739例（占38.6%）、735例（占38.3%）和295例（占15.4%）,差异有统计学意义（P < 0.05）;藏族、汉族、回族、蒙古族和其他民族患者人数分别为1 564例（占81.6%）、256例（占14.9%）、66例（占3.4%）、19例（占1.0%）和11例（占0.6%）,差异有统计学意义（P < 0.05）。其中,实变型细粒棘球蚴病患者（340例,占32.7%）和浸润型多房棘球蚴病患者（442例,占51.0%）数量最多。青海省肝棘球蚴病以细粒棘球蚴病和多房棘球蚴病为主。
侯玉虎 , 马淑梅 , 樊海宁 , 乔志忠 , 杨海芳 , 罗巧 . 超声诊断的1 917例青海省肝棘球蚴病患者流行病学回顾性分析[J]. 中国寄生虫学与寄生虫病杂志, 2020 , 38(4) : 518 -520 . DOI: 10.12140/j.issn.1000-7423.2020.04.021
To analyze the 1 917 cases of hepatic echinococcosis diagnosed by ultrasound in Qinghai Province retrospectively, in order to understand the classification and epidemiological characteristics of the disease, providing basis for prevention and control and for evaluations of control effects. Primary information were collected of the 1 917 cases of hepatic echinococcosis diagnosed by abdominal ultrasound scanning during the period from January 2013 to March 2019 in the Qinghai University Affiliated Hospital. The information collected were analyzed by χ 2 test with regard to the infection type, gender, age and ethnicity using SPSS 19.0. Among the 1 917 cases, the cases of cystic, alveolar and mixed was 1 041 (54.3%), 867 (45.2%), and 9 cases (0.5%), respectively, with the difference being statistically significant (P < 0.05). Of the 1 917 cases, 914 (47.7%) were males and 1 003 (52.3%) were females (P > 0.05). The numbers of patients in the age groups of 0-19 years, 20-39 years, 40-59 years and ≥ 60 years were 148 (7.7%), 739(38.6%), 735 (38.3%) and 295 (15.4%), respectively, with significant difference (P < 0.05). The numbers of patients of Tibetan, Han, Hui, Mongolian and other ethnicities were 1 564 (81.6%), 256 (14.9%), 66 (3.4%), 19 (1.0%) and 11 (0.6%), respectively, with statistically significant differences (P < 0.05). Among the total, the number of consolidatory cystic echinococcosis(340, 32.7%) and infiltrative elveolar echinococcosis (442, 51.0%) are the highest. The cystic and elveolar echinococcosis are the main type of hepatic echinococcosis in Qinghai Province.
Key words： Liver echinococcosis; Ultrasound; Typing; Qinghai Province
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