Yong-Hui Zhu, Zheng-Yuan Zhao, Wei-Cheng Deng
National Key Clinical Department of Schistosomiasis, Affiliated Xiangyue Hospital of Hunan Institute of Parasitic Diseases, Hunan Province, Yueyang 414000, China.
Hunan Institute of Parasitic Diseases, WHO Collaborating Centre for Research and Control on Schistosomiasis in Lake Regions, China.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2016 Oct 26;29(3):267-272. doi: 10.16250/j.32.1374.2016104.
Advanced schistosomiasis, encompassing a wide range of pathologic entities and multi-complications, poses a serious threat on the patients' health. Through comprehensive analysis and evaluation on related aspects regarding clinical classification, main methods of auxiliary examination and treatment (including types of surgical procedure) of advanced schistosomiasis, we think that the individual based multidisciplinary comprehensive treatment according to varying conditions of patients is the most optimal treatment mode of advanced schistosomiasis. It is further proposed that multidisciplinary collaborative diagnosis and treatment system should be undoubtedly established, multidisciplinary case discussions be regularly organized, and treatment expert teams be stably formed, in order to significantly improve the level of diagnosis and treatment of advanced schistosomiasis, so as to reduce the misdiagnosis and improve the therapeutic effect in advanced schistosomiasis control.
晚期血吸虫病包含多种病理实体和多种并发症,对患者健康构成严重威胁。通过对晚期血吸虫病的临床分类、辅助检查及治疗的主要方法(包括手术方式)等相关方面进行综合分析和评估,我们认为根据患者不同情况进行个体化的多学科综合治疗是晚期血吸虫病最优化的治疗模式。进一步提出应建立多学科协作诊疗体系,定期组织多学科病例讨论,稳定组建治疗专家团队,以显著提高晚期血吸虫病的诊疗水平,从而在晚期血吸虫病防治中减少误诊并提高治疗效果。