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1314例肝包虫病临床分析

[Clinical analysis of 1314 cases with hepatic hydatidosis].

作者信息

Xu M Q

机构信息

Research Unit of Hydatidology, People's Hospital of Xingjiang, Urumqi.

出版信息

Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 1993;11(3):215-8.

PMID:8168248
Abstract

One thousand three hundred and fourteen cases of hepatic hydatidosis confirmed by surgical operation were analysed. Most of them contracted this disease in childhood, and hydatid cysts developed slowly without eliciting distinct symptoms until the occurrence of complications. The chief complaint was abdominal mass with pain in the right hypochondrium. The main complications in 1,314 patients were shown to be secondary bacterial infection of hydatid cysts (20.2%), cyst rupture (9.9%), portal hypertension (2.4%) and anaphylactic reaction (1.9%). By employing the advanced diagnostic technique especially the combined use of ultrasonography, roentgenography, CT scanning and seroimmunological diagnosis, the percentage of preoperative diagnosis might be raised to as high as 100%.

摘要

对1314例经手术确诊的肝包虫病病例进行了分析。其中大多数患者在儿童时期感染此病,包虫囊肿发展缓慢,在出现并发症之前未引发明显症状。主要症状为腹部肿块伴右季肋部疼痛。1314例患者的主要并发症为包虫囊肿继发细菌感染(20.2%)、囊肿破裂(9.9%)、门静脉高压(2.4%)和过敏反应(1.9%)。通过采用先进的诊断技术,尤其是超声检查、X线检查、CT扫描和血清免疫诊断相结合的方法,术前诊断率可提高至100%。

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