Frider B, Larrieu E, Vargas F, Odriozzola M, Lester R
Acta Gastroenterol Latinoam. 1985;15(4):199-211.
Between June and November 1984, 904 asymptomatic people from endemic areas of hydatidosis in Rio Negro, Argentina, were studied by means of ultrasonography (U.S.) and double diffusion for arc five (dd5). The population included 272 inhabitants from Pilcaniyeu, 55 patients from the Zonal Bariloche Hospital admitted for diseases other than hydatidosis and 577 recruits from different departments of the Rio Negro Province. A chest X-ray was performed in every recruits. 47 (5.20%) cases of hepatic hydatidosis were detected by U.S.; 11 (1.22%) were detected by dd5 (p 0.01); 2 (0.34%) were detected by chest X-ray. Due to the low sensitivity of dd5 a presumptive diagnosis of hydatidosis should be made in every patient proceeding from an endemic area with a liver cyst diagnosed by ultrasound, even if dd5 is negative. U.S. must be incorporated as an elective method associated with chest X-ray and dd5 in epidemiological yielding and monitoring of control programs for hydatidosis.
1984年6月至11月期间,采用超声检查(U.S.)和针对弧五的双向扩散法(dd5),对来自阿根廷内格罗河地区包虫病流行区的904名无症状者进行了研究。研究人群包括来自皮尔卡尼约的272名居民、因非包虫病疾病入住巴里洛切地区医院的55名患者以及来自内格罗河省不同部门的577名新兵。对每名新兵都进行了胸部X光检查。超声检查发现47例(5.20%)肝包虫病病例;双向扩散法检测出11例(1.22%)(p<0.01);胸部X光检查发现2例(0.34%)。由于双向扩散法的敏感性较低,即使双向扩散法结果为阴性,对于来自流行区且经超声诊断为肝囊肿的每位患者,都应作出包虫病的推定诊断。在包虫病的流行病学调查及控制项目监测中,必须将超声检查作为与胸部X光检查和双向扩散法相关的一种选择性方法。