Heyd B, Weise L, Bettschart V, Gillet M
Service de Chirurgie Digestive, Centre Hospitalier Régional et Universitaire (Direktor: Prof. Dr. G. Manciou) Besançon.
Chirurg. 2000 Jan;71(1):16-20. doi: 10.1007/s001040051007.
Alveolar hydatid disease is an uncommon parasitosis found in the northern hemisphere, caused by the larval stage of a tapeworm growing in the liver: Echinococcus multilocularis. It behaves like a malignant tumor, producing liver necrosis and invading the biliary tract, main vessels and surrounding structures.
Review of the different therapeutic approaches in hepatic alveolar echinococcosis over 21 years in an epidemic area.
The various surgical approaches (all types of hepatectomy, palliative surgical procedures and liver transplantation) were combined with medical, endoscopic and radiological interventional treatment. Recently, asymptomatic forms were more frequently encountered.
The wide use of ultrasonography and specific serological tests have led to early diagnosis, allowing more curative hepatectomies.
肺泡型包虫病是一种在北半球发现的罕见寄生虫病，由生长在肝脏中的绦虫幼虫阶段——多房棘球绦虫引起。它的行为类似于恶性肿瘤，会导致肝脏坏死并侵犯胆道、主要血管和周围结构。
回顾一个流行地区21年来肝泡型包虫病的不同治疗方法。
各种手术方法（各类肝切除术、姑息性手术和肝移植）与药物、内镜和放射介入治疗相结合。最近，无症状形式更为常见。
超声检查和特异性血清学检测的广泛应用导致了早期诊断，从而使更多的根治性肝切除术成为可能。
