细粒棘球蚴病34例临床病理分析  

Clinical pathological analysis in 34 cases Echinococcus granulosus disease

作　　者：贺海燕[1] 张淼[1] 李晶[1] 李燕[1] 孙琪[1] 

机构地区：[1]宁夏自治区人民医院病理科,宁夏银川750021

出　　处：《世界感染杂志》2007年第5期404-406,F0004,共4页World Journal of Infection

摘　　要：目的 探讨人体细粒棘球蚴病的临床、病理学特征及鉴别诊断。方法 通过相关文献复习，对34例细粒棘球蚴病标本进行光镜观察，对其临床及组织形态学资料进行分析。结果 细粒棘球蚴病在人体组织中呈囊性占位性病变，肝脏最常见（占70．5％），肺脏次之（占14．6％），女性显著多于男性，男女之比为1：2．7。30例可见角质层，3例可见原头蚴。角质层与正常组织间为厚薄不一的肉芽组织。结论 细粒棘球蚴病在牧区有广泛传播流行，女性为主要受害人群，肝脏为主要受累器官。临床上容易误诊为肝囊肿、肝脓肿、肝癌，严重危害人体健康。Objective To explore the clinical, pathological features and differential diagnosis of human Echinococcus granulosustin disease. Methods Through reviewing the related literatures, 34 cases of specimens of Echinococcus granulosus disease were observed under light microscope, which clinical and morphological data were analyzed. Results Echinococcus granulosus disease in human tissues showed cystic lesions. The most common interfered organ was liver （70.5%）, then following by lung （14.6%）. Female is significantly more than male and the gender ratio is 1：2.7. Visibility cuticle was observed in 30 cases and Visibility protoscolex was found in 3 cases. The thicknesses of the granulation tissue between Cuticle and normal tissue were different. Conclusion Echinococcus granulosus disease in pastoral areas is widespread epidemic. Women were the main victim population and liver was the main organ involved. In the clinical practice the disease was easily to be misdiagnosed as liver cysts, liver abscess and liver cancer, which seriously harmed to human health.

关 键 词：细粒棘球蚴 临床 病理 流行病学 鉴别诊断 

分 类 号：R532.32[医药卫生—内科学]