晚期血吸虫病多学科综合治疗的价值与评价  

Value and evaluation on multidisciplinary treatment of advanced schistosomiasis

作　　者：朱永辉[1] 赵正元[2] 邓维成[1] 

机构地区：[1]湖南省血吸虫病防治所附属湘岳医院,血吸虫病国家临床重点专科,岳阳414000 [2]湖南省血吸虫病防治所,世界卫生组织湖区血吸虫病防治研究合作中心

出　　处：《中国血吸虫病防治杂志》2017年第3期267-272,共6页Chinese Journal of Schistosomiasis Control

基　　金：血吸虫病国家临床重点专科(卫办医政函2012-649);湖南省卫生计生委科研计划项目(C2015-68)

摘　　要：晚期血吸虫病病情复杂,并发症多,严重威胁患者生命健康。本综述通过对晚期血吸虫病临床分型、辅助检查与治疗的主要手段(包括手术类型等)进行综合分析与评价,认为根据患者具体情况制定的个体化多学科综合治疗方案是晚期血吸虫病最合理的治疗模式。建议今后要设立多学科协作的诊疗制度,定期组织多学科病例讨论,形成稳定的治疗团队,以提高晚期血吸虫病的诊疗水平,减少误诊,提高疗效。Advanced schistosomiasis,encompassing a wide range of pathologic entities and multi-complications,poses a se-rious threat on the patients＆#39;health. Through comprehensive analysis and evaluation on related aspects regarding clinical classifi-cation,main methods of auxiliary examination and treatment（including types of surgical procedure）of advanced schistosomia-sis,we think that the individual based multidisciplinary comprehensive treatment according to varying conditions of patients is the most optimal treatment mode of advanced schistosomiasis. It is further proposed that multidisciplinary collaborative diagnosis and treatment system should be undoubtedly established,multidisciplinary case discussions be regularly organized,and treat-ment expert teams be stably formed,in order to significantly improve the level of diagnosis and treatment of advanced schistoso-miasis,so as to reduce the misdiagnosis and improve the therapeutic effect in advanced schistosomiasis control.

关 键 词：晚期血吸虫病 临床分型 多学科 外科手术 综合治疗 

分 类 号：R532.21[医药卫生—内科学]