肝泡球蚴病的诊断与治疗探讨(附25例报告)  

Study on the diagnosis and treatment of hepatic alveolar echinococcosis(attached 25 cases reports)

作　　者：巴桑顿珠[1] 罗亦刚[1] 

机构地区：[1]西藏自治区人民医院外一科,西藏850000

出　　处：《中国实用外科杂志》2013年第S1期46-48,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨肝泡球蚴病(hepatic alveolar echinococcosis,HAE)的诊断与外科手术及药物辅助治疗的方法和疗效方法分析2006年9月至2010年9月间收治的25例HAE病人的临床资料,治疗方式依不同情况而定。结果对11例病人行根治性肝叶切除,其中肝功能衰竭死亡1例,其余好转;另外14例病人行姑息性病灶大部切除+术后阿苯达唑口服化疗,其中病灶明显缩小钙化8例,病灶部分钙化无增大3例。结论肝泡球蚴的诊断主要依靠流行病学史,卡松尼(casoni)实验,影像学检查,排除肝癌,诊断基本确立。手术彻底切除病变肝叶为首选治疗方法,对于不能行根治手术病人可以行病灶大部切除辅助阿苯达唑化疗治疗,可以有效控制病灶的发展,甚至病灶钙化吸收。Objective To investigate the diagnosis,operative methods,and drug treatments of hepatic alveolar echinococcosis(HAE).Methods To analyze 25 patients' clinical data of HAE between 2006.9 and 2010.9.The treatmentMethods depend on different situations of the patients.Results The operative situations were as followings: radical hepatectomy were 11 cases,and non recurrence without one patients died of hepatic function failure.Palliative lesions subtotal/postoperative chemotherapy by Albendazole were 14 cases,The lesions of 8 cases were reduced significantly and been calcified,while the lesions of 3 cases were calcified partly without amplification.Conclusion The diagnosis of hepatic alveolar echinococcosis(HAE) mainly depended on the epidemiological history,Casoni test, imaging examination,then to exclude liver cancer.Thus,the diagnosis was basically established.The first therapy was completely removal of lesions lobe by surgical operation.The secondly therapy about people who can not carry on the radical surgy was subtotal surgy with postoperative chemotherapy by Albendazole.This therapy can control the development of lesions,and even help the absorption of calcification.

关 键 词：肝泡球蚴病 诊断 治疗 

分 类 号：R657.3[医药卫生—外科学] R532.2[医药卫生—临床医学]