Gütgemann A, Käufer C, Prange C H, Raschke E, Bücheler E, Biersack H J
Langenbecks Arch Chir. 1976 Apr 23;340(4):285-97. doi: 10.1007/BF01254500.
From 1970 to April 1975 42 patients were treated for Echinococcus of the liver at the Bonn University Dept. of Surgery. There were 33 cases of E. cysticus and 9 cases of E. alveolaris. These two types of Echinococcus, different in parasitology and epidemiology present different clinical manifestation of disease with different course and prognosis. Angiography with celiaco- and superselective hepaticography are decisive for diagnosis. Therapy can only be surgical with total removal of the parasites. In E. cysticus this is almost always possible by enucleation-resection or pericystectomie following evacuation of the cyst and instillation of 20% sodium-chloride or formaldehyde. Such radicality is the exception in E. alveolaris. Here partial resections, biliodigestive and hepatodigestive anastomoses as palliative measures are carried out predominantly to ensure bile passage.
1970年至1975年4月，波恩大学外科对42例肝包虫病患者进行了治疗。其中囊型包虫病33例，泡型包虫病9例。这两种包虫在寄生虫学和流行病学方面存在差异，其疾病临床表现、病程及预后也各不相同。腹腔动脉造影及超选择性肝动脉造影对诊断具有决定性意义。治疗只能采取手术方式，彻底清除寄生虫。对于囊型包虫病，在囊肿排空并注入20%氯化钠或甲醛后，几乎总能通过摘除-切除术或囊肿外膜切除术完全切除。而在泡型包虫病中，这种彻底性则较为罕见。在此种情况下，主要采取部分切除术、胆肠吻合术及肝肠吻合术等姑息性措施以确保胆汁引流。
