Xu Mingqian, Kuerban Hadeer, Kong Changqing, Ge Xiaohu, Zhang Linchuan, Wang Longwen, Dong Zhaohu, Yu Lan
Department of Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China.
Zhonghua Yi Xue Za Zhi. 2002 Feb 10;82(3):176-9.
To investigate the imaging characteristics of hepatic cystic echinococcosis in different imaging examinations and to formulate an imaging classification.
The data of pre-operative imaging examination of 2 039 cases with hepatic cystic echinococcosis, who underwent operation during the period January 1984 to December 2000, by B mode ultrasonograohy (all cases), X-ray computed tomography (909 cases), and magnetic resonance imaging (24 cases) were analyzed, being compared with the pathological findings of the resected specimens.
Imaging examinations succeeded to identify not only the location, size, and form of hydatid cyst in liver, but also the typical pathomorphology of complications. The hepatic echinococcosis can be divided into seven imaging-diagnostic patterns: solitary cyst (1 625 cases, 79.70%), multiple cysts (414 cases, 20.30%), primary hydatid cyst with daughter cysts (1 114 cases, 54.63%), calcified cyst (186 cases, 9.12%), consolidated cyst (28 cases, 1.37%), cyst with infection (391 cases, 19.18%), and ruptured cyst (298 cases, 14.62%).
A new diagnostic system of hepatic echinococcosis has been formulated based on imaging examination and by reference to clinical manifestation. It helps select appropriate operation program.
探讨肝囊性棘球蚴病在不同影像学检查中的表现特征，并制定影像学分类。
分析1984年1月至2000年12月期间2039例接受手术治疗的肝囊性棘球蚴病患者的术前影像学检查资料，包括B型超声检查（所有病例）、X线计算机断层扫描（909例）和磁共振成像（24例），并与切除标本的病理结果进行比较。
影像学检查不仅能够确定肝内棘球蚴囊肿的位置、大小和形态，还能识别并发症的典型病理形态。肝棘球蚴病可分为七种影像学诊断类型：孤立性囊肿（1625例，79.70%）、多发性囊肿（414例，20.30%）、原发性棘球蚴囊肿伴子囊（1114例，54.63%）、钙化囊肿（186例，9.12%）、实性囊肿（28例，1.37%）、感染性囊肿（391例，19.18%）和破裂囊肿（298例，14.62%）。
基于影像学检查并参考临床表现制定了一种新的肝棘球蚴病诊断系统。它有助于选择合适的手术方案。
