Lotritsch K H, Goebel N
Wien Klin Wochenschr. 1986 Mar 7;98(5):146-51.
Liver echinococcosis, the most frequently occurring form of parasitosis, is caused by the following two types of tapeworm: echinococcus granulosus and echinococcus multilocularis. Both types are to be found in Austria, the latter even being endemic. Imaging techniques such as computed tomography and sonography enable the diagnosis to be made easily, quickly and accurately, although the number of conditions to be considered in the differential diagnosis is considerable. A comparison of the two methods in 32 patients, 25 with echinococcus multilocularis and 7 with echinococcus granulosus demonstrates that ultrasound is slightly inferior to computed tomography. However, ultrasound should be the primary method of investigation and is of great importance in follow-up, whilst computed tomography is necessary pre-operatively to assess the extrahepatic involvement.
肝包虫病是最常见的寄生虫病形式，由以下两种绦虫引起：细粒棘球绦虫和多房棘球绦虫。这两种类型在奥地利均有发现，后者甚至为地方病。计算机断层扫描和超声检查等成像技术能轻松、快速且准确地做出诊断，尽管鉴别诊断中需考虑的病症数量众多。对32例患者（25例多房棘球绦虫病患者和7例细粒棘球绦虫病患者）的两种检查方法进行比较表明，超声检查略逊于计算机断层扫描。然而，超声检查应作为主要的检查方法，在随访中非常重要，而计算机断层扫描在术前评估肝外受累情况时是必要的。
