肝囊型包虫病的超声图像分析及其临床价值  

Analysis of ultrasonography of hepatic cystic echinococcosis and its clinical value

作　　者：蔡培伟[1] 郑宝群[1] 格桑卓玛 

机构地区：[1]汕头大学医学院第一附属医院超声科,广东汕头515000 [2]西藏自治区林芝市人民医院功能科,西藏林芝860000

出　　处：《吉林医学》2016年第6期1358-1360,共3页Jilin Medical Journal

摘　　要：目的:通过诊断分析肝包虫病的超声声像图特征,探讨该病的发病机制,为临床进一步治疗提供依据。方法:回顾性分析经手术及血清学检查证实的69例肝包虫病患者的声像图特征,并进行分型。结果:根据肝囊型包虫病的不同声像图表现及疾病的发生发展过程进行分型:单纯囊肿型23例,多发囊肿型14例,子囊孙囊型9例,囊肿钙化型8例,囊肿实变型9例,囊肿合并感染或破裂型6例。结论:各种不同类型肝棘球蚴病有不同的声像图特点。本病多发、高发于农牧区,早期症状不明显,而早期超声检查能直接显示患者病灶情况,做出相应的病理提示,在临床上具有较高的诊断价值。Objective Through the analysis of ultrasonographic characteristics of hepatic echinococcosis,which was designed to explore the pathogenesis of the disease,and provide the basis for clinical treatment. Method The ultrasonographic features of69 patients with hepatic echinococcosis were confirmed by surgery and serological examination,which were retrospectively analyzed and classified. Results According to the different ultrasonographic manifestations of hepatic cystic echinococcosis with the happening and development process of the disease,classification was as follows： simple cyst type 23 cases,multiple cysts type 14 cases,ascus polycystic type 9 cases,cyst with calcified type 8 cases,cyst with solidified type 9 cases,cyst with infected or rupture type 6 cases. Conclusion Various types of hepatic hydatidosis have different ultrasonographic features. The disease is high incidence in pastoral areas,and its early symptoms are not obvious. However the early ultrasonic examination in patients can directly display the lesions and make corresponding hints in pathology,which has high diagnostic value in clinic.

关 键 词：囊型包虫病 肝脏 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R532.32[医药卫生—诊断学]