1975年—2015年我国骨包虫病诊治状况的文献复习  

Literature review of the diagnosis and treatment of bone hydatid disease in China from 1975 to 2015

作　　者：邵军[1,2] 王志鑫[1,2] 李衍飞[1,2] 阳丹才让 任利[1,2] 侯立朝[1,2] 周瀛[1,2] 王海久[1,2] 王虎[1,3] 樊海宁 SHAO Jun;WANG Zhixin;LI Yanfei;Yangdancairang;REN Li;HOU Lizhao;ZHOU Ying;WANG Haijiu;WANG Hu;FAN Haining(Medical College of Qinghai University;Department of Hepatopancreatobiliary Surgery,Affiliated Hospital of Qinghai Universit;Xining,Qinghai 810001,P.R.Chin;2.Qinghai Province Key Laboratory of Hydatid Disease Resears;Qinghai University Provincial Key Laboratory of Hydatid Diseas;Xining,Qinghai 810001,P.R.Chin;3.Qinghai Provincial Health and Family Planning Commission,Xining,Qinghai 810001,P.R.China)

机构地区：[1]青海大学医学院青海大学附属医院肝胆胰外科,西宁810000 [2]青海省包虫病研究重点实验室青海大学包虫病省级重点实验室,西宁810000 [3]青海省卫生和计划生育委员会,西宁810000

出　　处：《华西医学》2018年第9期1138-1141,共4页West China Medical Journal

基　　金：青海省科技厅重点实验室专项(2017-ZJ-Y32);青海省卫生和计划生育委员会指导课题(2016-wjzd-04)

摘　　要：目的通过搜集文献回顾性研究我国骨包虫病的临床表现、诊断、治疗及预后情况。方法利用中国知网和万方数据库检索2000年—2015年中国骨包虫病的相关病例报道,进行回顾性分析。结果纳入2000年—2015年发表的相关文献21篇,共报道1975年—2015年收治的87例骨包虫病患者。骨包虫病的病例分布主要集中在我国广大畜牧区。诊断依据中,54例(62.1%)提及影像学检查,32例(36.8%)提及实验室检查,8例(9.2%)提及病理检查。治疗上以手术治疗为主,部分辅以联合化学药物治疗。44例有结局资料的患者中,复发26例(59.1%),治愈18例(40.9%);再次手术10例(22.7%),死亡2例(4.5%)。结论骨包虫病临床上较罕见,手术治疗仍是治疗骨包虫病的主要手段。骨包虫病的临床复发率相对较高,因此探索骨包虫病新的诊断和治疗方法至关重要。Objective To analyze the clinical manifestations, diagnosis, treatment and prognosis of bone hydatid disease in China by literature review. Methods We searched the databases of China National Knowledge Infrastructure and Wanfang for case reports of bone hydatid disease published from 2000 to 2015 in China. Data were extracted by using a standardized form and a retrospective clinical analysis was performed. Results A total of 21 relevant literatures published from 2000 to 2015 were included, including 87 cases of bone hydatid disease treated from 1975 to 2015. The regional distribution of bone hydatid disease was mainly concentrated in the animal husbandry areas in China. In terms of diagnosis basis, imaging examination was mentioned in 54 cases（62.1%）, laboratory examination was mentioned in 32 cases（36.8%）, and pathologic examination was mentioned in 8 cases（9.2%）, etc. Surgical treatment was the main treatment, and some treatments were combined with chemotherapy. The outcomes of bone hydatid disease were relatively poor. In the 44 cases whose outcomes were reported, 26 cases（59.1%） had recurrence, 18 cases were cured（40.9%）, 10 cases（22.7%） underwent re-operation, and 2 cases（4.5%） died. Conclusions Bone hydatid disease is rare. Surgical treatment is still the main method for treating bone hydatid disease. The rate of recurrence of bone hydatidosis is relatively high, so it is very important to explore new methods for diagnosis and treatment of bone hydatid disease.

关 键 词：骨包虫病 诊断 治疗 文献回顾 

分 类 号：R532.32[医药卫生—内科学]