Kratzer Wolfgang, Gruener Beate, Kaltenbach Tanja E M, Ansari-Bitzenberger Sarina, Kern Peter, Fuchs Michael, Mason Richard A, Barth Thomas F E, Haenle Mark M, Hillenbrand Andreas, Oeztuerk Suemeyra, Graeter Tilmann
Wolfgang Kratzer, Tanja EM Kaltenbach, Sarina Ansari-Bitzenberger, Mark M Haenle, Suemeyra Oeztuerk, Department of Internal Medicine I, University Hospital Ulm, 89081 Ulm, Germany.
World J Gastroenterol. 2015 Nov 21;21(43):12392-402. doi: 10.3748/wjg.v21.i43.12392.
To establish an ultrasonographic classification based on a large sample of patients with confirmed hepatic alveolar echinococcosis (AE).
Clinical data and ultrasonography (US) findings of 185 patients (100 males; 85 females; mean age at diagnosis: 51.4 ± 17.6 years; mean age at time of US examination: 58.7 ± 18.2 years) were retrospectively reviewed with respect to the US morphology of hepatic AE lesions. The sonomorphological findings were grouped according to a five-part classification scheme.
Application of the new classification resulted in the following distribution of sonomorphological patterns among the patients examined: hailstorm (54.1%); pseudocystic (13.5%); ossification (13.0%); hemangioma-like (8.1%); and metastasis-like (6.5%). Only 4.9% of lesions could not be assigned to a sonomorphological pattern.
The sonomorphological classification proposed in the present study facilitates the diagnosis, interpretation and comparison of hepatic alveolar echinococcosis in routine practice and in the context of scientific studies.
基于大量确诊肝泡型包虫病（AE）患者样本建立超声分类。
回顾性分析185例患者（男性100例，女性85例；诊断时平均年龄：51.4±17.6岁；超声检查时平均年龄：58.7±18.2岁）的临床资料及超声（US）检查结果，观察肝AE病灶的超声形态。根据五分法分类方案对超声形态学表现进行分组。
新分类在受检患者中的超声形态学模式分布如下：暴风雪样（54.1%）；假囊肿样（13.5%）；骨化样（13.0%）；血管瘤样（8.1%）；转移瘤样（6.5%）。仅4.9%的病灶无法归入超声形态学模式。
本研究提出的超声形态学分类有助于在常规实践和科研背景下对肝泡型包虫病进行诊断、解读和比较。
