盆腔细粒棘球蚴病的诊断及治疗  

The diagnosis and treatment of pelvic echinococcosis

作　　者：齐飞波[1] 李银凤[1] 王英刚[1] 武阳[2] 杨轲[3] 

机构地区：[1]新疆维吾尔自治区人民医院泌尿三科,乌鲁木齐830002 [2]解放军474医院外科,乌鲁木齐830058 [3]新疆维吾尔自治区人民医院药剂科,乌鲁木齐830002

出　　处：《国际医学寄生虫病杂志》2009年第6期378-380,共3页International JOurnal of Medical Parasitic Diseases

摘　　要：目的探讨盆腔细粒棘球蚴病的诊治方法。方法对1980年1月至2009年1月收治的16例盆腔棘球蚴病病例的资料进行分析。结果16例患者均有疫区犬、羊接触史，以下腹部包块为主要临床表现。用棘球蚴病囊液抗原（EgCF）、头节抗原（EgP）、囊液半纯化抗原B（EgB）、泡球蚴抗原（Em2）等4项免疫试验检查4例，3例阳性。超声波和CT诊断符合率分别为35．7％和55．6％。采用内囊摘除术或外囊完整摘除术为主的手术治疗。16例中8例术前诊断明确。2例术前外伤破裂、1例术中囊液外溢共3例出现过敏性休克，经手术、抗过敏、抗感染治疗后治愈。4例术后复发。结论流行病学、免疫学、CT及超声波检查是诊断盆腔棘球蚴病的主要方法。膀胱部分切除或内囊摘除术是治疗的主要手段。Objective To investigate the diagnosis and treatment of pelvic echinococcosis. Methods Sixteen cases of pelvic echinococeosis treated from Jan. 1980 to Jan. 2009 were reviewed. Results All the patients had history of contacting with dogs and sheeps. Three out of four cases diagnosed with immunological tests using EgCF, EgP ,EgB ,Era 2 as antigens were positive. B-uhrasonography and CT-scan had a positive diagnosis rate of 35.7% and 55.6% respectively. Open surgery was undertaken in 16 cases, among them 3 cysts ruptured with shock following injury, 4 cases of recurrence after surgical management were observed. Conclusions Epidemiology history, immunological tests, B-uhrasonography and CT-scan are the cardinal means of diagnosis. Partial cysteetomy of bladder and transpelvic extirpation of the internal cysts are the main treatment of choice.

关 键 词：盆腔 细粒棘球蚴病 诊断 治疗 

分 类 号：R739.9[医药卫生—肿瘤] R532.32[医药卫生—临床医学]