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肝囊肿与肝泡状棘球蚴混合感染的诊断与治疗：四例报告

Diagnosis and treatment of mixed infection of hepatic cystic and alveolar : Four case reports.

作者信息

A Ji-De, Chai Jin-Ping, Wang Hao, Gao Wei, Peng Zhe, Zhao Shun-Yun, A Xiang-Ren

机构信息

General Surgery, Provincial People's Hospital, Xining 810000, Qinghai Province, China.

Internal Medicine-Cardiovascular, Provincial People's Hospital, Xining 810000, Qinghai Province, China.

出版信息

World J Clin Cases. 2020 Sep 6;8(17):3911-3919. doi: 10.12998/wjcc.v8.i17.3911.

DOI:10.12998/wjcc.v8.i17.3911
PMID:32953871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7479555/
Abstract

BACKGROUND

Mixed infection of hepatic cystic and alveolar is extremely rare. This article reveals the typical imaging manifestations of cystic and alveolar and investigates the diagnosis and surgical experience of mixed infection of hepatic cystic and alveolar .

CASE SUMMARY

From January 2017 to May 2019, 4 cases with rare mixed infection of hepatic cystic and alveolar were admitted and treated by the Division of General Surgery of Qinghai Provincial People's Hospital. Three of the patients occasionally had upper abdominal discomfort, but it did not affect their daily lives. However, hepatic was found in one patient by physical examination, and the patient had no discomfort. All 4 cases were Tibetans who had lived in pastoral areas of southern Qinghai for a long time. Enzyme-linked immunosorbent assay for was positive for all patients. Moreover, abdominal computed tomography showed typical imaging manifestations of cystic and alveolar including coexisting "honeycomb sign," and "spotted calcification." Three of the patients underwent radical resection, and 1 case underwent palliative resection. All 4 patients developed different types of surgical complications after the operation, but all of them recovered and were discharged after symptomatic treatment.

CONCLUSION

There are no problems diagnosing mixed infection of hepatic cystic and alveolar . The difficulties involve preoperative evaluation and treatment of surgical complications.

摘要

背景

肝囊性与泡性混合感染极为罕见。本文揭示囊性与泡性肝包虫病的典型影像学表现，并探讨肝囊性与泡性混合感染的诊断及手术经验。

病例摘要

2017年1月至2019年5月，青海省人民医院普通外科收治并治疗了4例罕见的肝囊性与泡性混合感染患者。其中3例患者偶尔有上腹部不适，但不影响日常生活。然而，1例患者经体格检查发现肝包虫病，该患者无不适症状。所有4例患者均为长期居住在青海南部牧区的藏族人。所有患者的包虫酶联免疫吸附试验均为阳性。此外，腹部计算机断层扫描显示囊性与泡性肝包虫病的典型影像学表现，包括并存的“蜂窝征”和“斑点状钙化”。3例患者接受了根治性切除术，1例接受了姑息性切除术。所有4例患者术后均出现不同类型的手术并发症，但经对症治疗后均康复出院。

结论

肝囊性与泡性混合感染的诊断不存在问题。困难在于术前评估及手术并发症的处理。

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本文引用的文献

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2
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World J Gastrointest Surg. 2018 Jan 27;10(1):1-5. doi: 10.4240/wjgs.v10.i1.1.
3
Global Distribution of Alveolar and Cystic Echinococcosis.
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Adv Parasitol. 2017;95:315-493. doi: 10.1016/bs.apar.2016.11.001. Epub 2017 Jan 20.
4
[Detection of Echinococcus granulosus and Echinococcus multilocularis in cyst samples using a novel single tube multiplex real-time polymerase chain reaction].[使用新型单管多重实时聚合酶链反应检测囊肿样本中的细粒棘球绦虫和多房棘球绦虫]
Mikrobiyol Bul. 2016 Apr;50(2):266-77. doi: 10.5578/mb.21005.
5
The first meeting of the European Register of Cystic Echinococcosis (ERCE).欧洲囊型棘球蚴病登记处（ERCE）首次会议。
Parasit Vectors. 2016 Apr 28;9:243. doi: 10.1186/s13071-016-1532-3.
6
World Health Organization Estimates of the Global and Regional Disease Burden of 11 Foodborne Parasitic Diseases, 2010: A Data Synthesis.世界卫生组织对2010年11种食源性寄生虫病的全球和区域疾病负担的估计：数据综合分析
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7
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8
Outcomes After Liver Resection for Hepatic Alveolar Echinococcosis: A Single-Center Cohort Study.肝泡型包虫病肝切除术后的结局：一项单中心队列研究
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9
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10
Primary retroperitoneal echinococcal cyst.原发性腹膜后棘球蚴囊肿。
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