西藏地区肝脏与盆腔共发包虫病超声分型的相关性  

Correlation between ultrasound classification of liver and pelvic cystic echinococcosis in Tibet

作　　者：孙雪 苏娜 尼玛玉珍[2] 达娃[2] 高琳 德央 SUN Xue;SU Na;NIMA Yuzhen;DA Wa;GAO Lin;DE Yang(Tibet University,Lhasa 850000,China)

机构地区：[1]西藏大学,拉萨市850000 [2]西藏自治区人民医院超声医学科

出　　处：《临床超声医学杂志》2024年第10期851-854,共4页Journal of Clinical Ultrasound in Medicine

基　　金：西藏自治区自然科学基金项目[XZ2023ZR-ZY12(Z)]。

摘　　要：目的探讨西藏地区肝脏与盆腔共发包虫病患者病灶超声分型的相关性。方法收集西藏自治区人民医院均经手术病理、超声或CT检查证实的肝脏与盆腔共发包虫病患者23例,应用超声观察肝脏及盆腔病灶的位置、数目、大小、形态及回声情况并进行WHO分型,分析肝脏与盆腔病灶超声分型的相关性。结果23例肝脏与盆腔共发包虫病患者中,肝脏病灶位于左肝3例,右肝19例,左右叶多发1例,除2例病灶位于肝右后叶外,其余21例病灶均贴近肝包膜;超声分型为多子囊型2例,内囊破裂型3例,实变型3例,钙化型15例。盆腔病灶位于腹盆腔3例,盆腔20例,其中左侧盆腔3例,右侧盆腔9例,累及整个盆腔8例;超声分型为单囊型1例,多子囊型10例,内囊破裂型4例,实变型4例,钙化型4例;超声准确诊断14例(60.9%),未定性8例(34.8%),定性错误1例(4.3%)。同一患者盆腔病灶超声分型均低于或等于肝脏病灶,其肝脏与盆腔病灶超声分型呈正相关(r=0.442,P<0.05)。结论西藏地区肝脏与盆腔共发包虫病患者的盆腔包虫病多由肝包虫病种植转移,二者的超声分型存在相关性。Objective To explore the correlation between ultrasound classification of liver and pelvic cystic echinococcosis in Tibet.Methods A total of 23 patients with co-occurrence cystic echinococcosis in the liver and pelvis who were admitted to the People’s Hospital of the Tibet Autonomous Region were collected.All of them were confirmed by surgical pathology,ultrasound or CT examination.Ultrasound was applied to observe the location,number,size,shape and echo of the liver and pelvic hydatid lesions and conduct WHO classification.The correlation between ultrasound classification of liver and pelvic lesions was analyzed.Results In 23 patients with co-occurrence liver and pelvic cystic echinococcosis,liver lesions were identified in the left lobe in 3 cases,the right lobe in 19 cases,and in both lobes in 1 case.With the exception of 2 cases located in the right posterior segment of the liver,all remaining 21 cases were adjacent to the liver capsule.The ultrasound classificarion indicated that multivesicular type in 2 cases,ruptured inner cyst type in 3 cases,solid type in 3 cases,and calcified type in 15 cases.The lesions in the pelvis were located in the abdomen and pelvis in 3 cases,the pelvis in 20 cases,including 3 cases in the left pelvis,9 cases in the right pelvis,and 8 cases affecting the entire pelvis.The ultrasound classificarion were single cyst type in 1 case,multivesicular type in 10 cases,ruptured inner cyst type in 4 cases,solid type in 4 cases,and calcified type in 4 cases.Ultrasound correctly diagnosed 14 cases(60.9%),was inconclusive in 8 cases(34.8%),and incorrectly diagnosed 1 case(4.3%).The ultrasound classificarion of pelvic echinococcosis in the same patient were lower or equal to that of co-occurrence liver echinococcosis,indicating a positive correlation between them(r=0.442,P<0.05).Conclusion In the patients with co-occurrence cystic echinococcosis of the liver and pelvic in Tibet,the pelvic echinococcosis lesions are mostly caused by implantation and metastasis from liver lesions,and there is

关 键 词：超声检查 盆腔包虫病 肝包虫病 超声分型 

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]