棘球蚴病92例临床病理分析  

Echinococcosis: Clinical and pathological analysis of 92 cases

作　　者：王红红[1] 缑艳琴 刘瑞 宋小萍 李静[1] 贺海燕[1] WANG Honɡ-honɡ;GOU Yɑn-qin;LIU Rui;SONG Xiɑo-pinɡ;LI Jinɡ;HE Hɑi-yɑn(Department of Pathology,Ningxia People’s Hospital,Yinchuɑn 750002,China)

机构地区：[1]宁夏回族自治区人民医院病理科

出　　处：《诊断病理学杂志》2019年第11期760-762,共3页Chinese Journal of Diagnostic Pathology

摘　　要：目的探讨人体棘球蚴病的临床、病理学特征、诊断及签别诊断。方法通过相关文献复习,对92例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。结果棘球蚴病在人体组织中主要呈囊性占位性病变,肝脏最常见(73例,占79.4%),脾脏、肺脏次之(均为7例),男女发病率相近(男45例,女47例),角质层与正常组织间为厚薄不一的肉芽组织。结论棘球蚴病在牧区仍有广泛传播流行,肝脏为主要受累器官。临床上易误诊为肝囊肿、肝脓肿、肝癌,严重危害人体健康。Objective To investigate the clinical and pathological features and differential diagnosis of human echinococcosis. Methods Through reviewing the related literatures, 92 echinococcosis specimens were observed under light microscope, and their clinical and histomorphological data were analyzed. Results Echinococcosis mainly presented cystic space occupying lesions in human tissues. Liver was the most common(73 cases, accounting for 79.4%), followed by spleen and lung(both 7 cases). The incidence of echinococcosis was similar between males(45 cases)and females(47 cases). There was granulation tissue of different thickness between cuticle and normal tissue. Conclusion Echinococcosis is still widespread in pastoral areas and liver is the main affected organ. Clinically, it is easy to be misdiagnosed as liver cyst, liver abscess and liver cancer, which seriously endangers human health.

关 键 词：棘球蚴病 临床 病理 流行病学 诊断 

分 类 号：R532.32[医药卫生—内科学]