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包虫病的管理

Management of echinococcosis.

作者信息

Nepalia S, Joshi A, Shende A, Sharma S S

机构信息

Department of Gastroenterology, SMS Medical College and Hospital, Jaipur.

出版信息

J Assoc Physicians India. 2006 Jun;54:458-62.

PMID:16909694
Abstract

Cystic echinococcosis is a zoonosis caused by larval forms of the tapeworm Echinococcus granulosus and transmitted by dogs. In humans, the disease is characterized by slowly growing cyst commonly occurring in liver and lungs. Clinical features of hepatic hydatid cyst are mainly right upper quadrant pain, feeling of lump and enlarged tender liver. The cyst may be complicated by infection or rupture and may lead to anaphylactic reaction. Ultrasonography supported by serology is the main diagnostic modality. Treatment of univesicular cyst is predominantly medical or percutaneous. Percutaneous treatment (PAIR) is safe and effective and complications are infrequent. For multivesicular and complicated cyst surgery remains the mainstay of treatment.

摘要

囊型包虫病是一种由细粒棘球绦虫的幼虫形式引起的人畜共患病,通过狗传播。在人类中,该病的特征是通常发生在肝脏和肺部的缓慢生长的囊肿。肝包虫囊肿的临床特征主要是右上腹疼痛、肿块感和肝脏肿大压痛。囊肿可能并发感染或破裂,并可能导致过敏反应。血清学支持下的超声检查是主要的诊断方法。单房囊肿的治疗主要是药物治疗或经皮治疗。经皮治疗(穿刺抽液注入无水乙醇)安全有效,并发症少见。对于多房和复杂囊肿,手术仍然是主要的治疗方法。

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