多器官泡状棘球蚴病的诊断治疗  

Diagnosis and treatment for alveolar echinoeoccosis in multi-organs

作　　者：李海涛[1] 吐尔千艾力[1] 邵英梅[1] 赵晋明[1] 买买提江·阿不都卡得尔[1] 温浩[1] 

机构地区：[1]新疆医科大学一附院消化血管外科中心肝胆包虫外科,乌鲁木齐830054

出　　处：《中华消化外科杂志》2007年第3期184-187,共4页Chinese Journal of Digestive Surgery

摘　　要：目的探讨多器官泡状棘球蚴病（alveolar echinococcosis,AE）临床诊断和治疗。方法回顾性分析我院2000-2006年收治的9例多器官AE患者的临床资料。结果9例中根治性肝肺切除2例,4例给予阿苯达唑脂质体口服液疗效良好,2例因其肝胆和颅脑并发症行手术治疗,辅以化疗,1例因自动放弃治疗而死亡。结论多器官AE的诊断和治疗均有一定难度。多器官AE必须通过综合分析才能准确诊断,根治性切除是首选方法。但因存在多器官的受累难以手术根治,故有效的药物化疗能在很大程度上延缓患者的生命并改善生活质量。Objective To discuss the diagnosis and treatment for alveolar echinococcosis （AE） in multiorgans. Methods Reviewing clinical data for 9 AE cases in our hospital between 2000 and 2006. Results It was rather difficult to be right diagnosed for multi-organs AE patients, 2 cases be cured by radical resection, and 6 cases improved in good effect after taking liposmal albendazole, one case died selfrefuse to be treated without treatment. Conclusions It was very difficult to cure multi-organs AE by surgery, especially to the metastasis, therefore, effective drug treatment may play important role in prolonging and improving relieving clinical manifestation and the patients＇ life quality.

关 键 词：泡状棘球蚴病 多器官 药物治疗 

分 类 号：R686[医药卫生—骨科学]