肝囊性棘球蚴病（CE）囊肿的计算机断层扫描（CT）表现：也门萨那一家三级中心的19年回顾性研究

Computed Tomography (CT) Patterns of Hepatic Cystic Echinococcosis (CE) Cysts: A 19-Year Retrospective Study at a Tertiary Center in Sana'a, Yemen.

作者信息

Al-Shehari Mohammed, Obadiel Yasser Abdurabo, Saryah Lamis Ali, Al-Hamli Mansor, Al-Absi Mohammed, Jowah Haitham Mohammed

机构信息

Department of Surgery, Faculty of Medicine and Health Science, Sana'a University, Sana'a, Yemen.

Department of Surgery, Al-Thawra Modern General Hospital, Sana'a, Yemen.

出版信息

J Epidemiol Glob Health. 2025 Jun 13;15(1):85. doi: 10.1007/s44197-025-00429-3.

DOI:10.1007/s44197-025-00429-3

PMID:40512449

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12165916/

Abstract

BACKGROUND

Echinococcus granulosus sensu lato, a hepatic cystic echinococcosis (CE), is a major public health concern in endemic regions, such as Yemen. Understanding their prevalence, computed tomography (CT) patterns, and socio-demographic characteristics is crucial for effective disease management.

METHODS

This retrospective study analyzed the medical records of 835 patients diagnosed with hepatic CE cysts at Al-Thawra Modern General Hospital, Sana'a, Yemen, between 2004 and 2023. Data on patient demographics, CE cyst characteristics, WHO Informal Working Group on Echinococcosis (IWGE) classification, and radiological evidence suggestive of complications were collected from the CT reports and analyzed using SPSS version 26.

RESULTS

The patients (66.47% female, median age 35 years) had 1,669 cysts, which were predominantly solitary (67%) and located in the right lobe (50.06%). The most common classifications were CE1 (38.56%) and CE3 (34.02%). The most common radiological finding suggestive of a complication was mass effect (38%). Other findings included intrabiliary rupture (4%) and intraperitoneal rupture (1.4%) with an annual mean of 44 cases.

CONCLUSIONS

The high prevalence, especially among young females, underscores the need for improved hygiene, standardized CT reporting for complex or preoperative cases, and a national registry to control this disease in Yemen.

摘要

背景

细粒棘球绦虫复合体，即肝囊性棘球蚴病（CE），是也门等流行地区的主要公共卫生问题。了解其患病率、计算机断层扫描（CT）模式以及社会人口学特征对于有效管理该疾病至关重要。

方法

这项回顾性研究分析了2004年至2023年期间在也门萨那的宰赫拉现代综合医院被诊断为肝CE囊肿的835例患者的病历。从CT报告中收集患者人口统计学数据、CE囊肿特征、世界卫生组织棘球蚴病非正式工作组（IWGE）分类以及提示并发症的放射学证据，并使用SPSS 26版进行分析。

结果

患者（66.47%为女性，中位年龄35岁）共有1669个囊肿，其中大多数为单发（67%），位于右叶（50.06%）。最常见的分类是CE1（38.56%）和CE3（34.02%）。提示并发症的最常见放射学表现是占位效应（38%）。其他表现包括胆管内破裂（4%）和腹腔内破裂（1.4%），年均病例数为44例。