Cielecka D, Gierczak A, Michałowicz B, Grytner-Ziecina B
Zakład Biologii Ogólnej i Parazytologii AM, 02-004 Warszawa, ul. Chałubińskiego 5.
Wiad Parazytol. 2001;47(3):483-7.
Liver cysts taken from 9 patients, operated on in the Medical Academy Clinic in 2000, have been examined. Cyst layers, their thickness and content have been analysed. We have searched for the cestoid scolexes and rostellar hooks. In 6 patients Echinococcus granulosus larvae have been found. In 4 cases there have been protoscolexes discovered, however with some signs of degeneration of the larva. In one case dead larva has been diagnosed on the basis of the presence of single hooks and in one patient one larva alive with unchanged structures has been revealed. Profound parasitological examination is a good supplement to the examination of the histopathological slides, especially in the case of degenerating larvae, when the tissues of the parasite lose their contact with the connective tissue layer of the host. Separated layer fragments, as well as protoscolexes and rostellar hooks need not be exposed to histological cutting.
对2000年在医学院诊所接受手术的9例患者的肝囊肿进行了检查。分析了囊肿壁层、其厚度和内容物。我们寻找了绦虫头节和顶突小钩。在6例患者中发现了细粒棘球绦虫幼虫。在4例中发现了原头节,但幼虫有一些退化迹象。在1例中,根据单个小钩的存在诊断为死幼虫,在1例患者中发现1条结构未改变的活幼虫。深入的寄生虫学检查是组织病理学切片检查的良好补充,特别是在幼虫退化的情况下,此时寄生虫组织与宿主结缔组织层失去接触。分离的壁层碎片以及原头节和顶突小钩无需进行组织学切片。