Pant C S, Gupta R K
Department of Ultrasound, Institute of Nuclear Medicine and Allied Sciences, Delhi, India.
Acta Radiol. 1987 Nov-Dec;28(6):743-5.
A prospective diagnosis of hydatid cyst was made in 90 cases involving abdomen and chest. It was based on the various sonographic signs of hydatid disease described in the literature. Surgery was performed in 60 patients while 30 were lost to follow-up. The diagnosis was confirmed in 55 patients while it was false positive in 5. The liver was the most common organ involved, followed by chest, kidney, peritoneum, spleen and retroperitoneum. Separation of the membrane from the wall, multiple daughter cysts, and collapsed cysts, were found to be diagnostic of hydatid disease. It is stressed that certain signs are specific for hydatid disease and thus do not cause any differential diagnostic problems.
对90例腹部和胸部包虫囊肿病例进行了前瞻性诊断。诊断依据是文献中描述的包虫病的各种超声征象。60例患者接受了手术，30例失访。55例患者诊断得到证实，5例为假阳性。肝脏是最常受累的器官，其次是胸部、肾脏、腹膜、脾脏和腹膜后。发现膜与壁分离、多个子囊和塌陷囊肿可诊断为包虫病。强调某些征象对包虫病具有特异性，因此不会引起任何鉴别诊断问题。
