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本文复习在新疆不同地区应用 B 型超声扫查法在人群中普查腹部包虫病的结果,在10154人中查出包虫病人164例,平均患病率为1.62%(最高为2.93%,最低为0.60%),女性的患病率均高于男性,49例普查检出的病人经手术治疗证实有3例误诊(手术证实为肝癌、肝囊肿和肝血肿各1例),46例经手术确诊为包虫病人,普查与手术确诊的符合率为93.88%。在五个普查地区分析居民包虫病患病率时发现,通过普查检出的病人占包虫病人总数的64.52%,而自动去医院就诊的病人占35.48%。5～14年龄组中普查检出的病人占77.50%。在两个调查点上5～15年龄组1931人中普查检出包虫病人17例,自动去医院就诊的病人仅2例,各占89.47%和10,53%。表明应用 B 超普查可以早期发现“健康”人群中包虫病人,特别是在低年龄组人群中具有极大的优越性。应用 B 超随访66例经手术治疗后不同时间的肝包虫病人。发现20例仍有包囊存在,复发率30.3%.其中有无重新感染的病例值得研究.作者认为腹部 B 超扫查做为包虫病流行病学调查研究的工具和在人群中进行群体性早期诊断的手段有很大价值.
In this paper, the results of census of abdominal echinococcosis by using B-mode ultrasound scan in different areas of Xinjiang were analyzed. 164 cases of hydatid disease were detected in 10,154 people, with an average prevalence of 1.62% (up to 2.93% The lowest was 0.60%). The prevalence rate of females was higher than that of males. The 49 cases of census confirmed by surgery showed that 3 cases were misdiagnosed (1 case of liver cancer, liver cyst and hepatic hematoma) Surgical diagnosis of hydatid disease patients, census and surgery confirmed the coincidence rate was 93.88%. When analyzing the prevalence of resident hydatid disease in five census areas, it was found that 64.52% of the total hydatid disease patients were detected by census and 35.48% of those who went to the hospital automatically. Among the 5 ~ 14 age group, 77.50% of the patients were detected by census. Of the 1931 people aged 5-15 in the two survey sites, 17 were detected by echinococcosis and only 2 were automatically treated by the hospital, accounting for 89.47% and 10,53% respectively. Show that the application of B-Census early detection of “healthy” populations of hydatid disease patients, especially in the low age group has great superiority. B-ultrasonography was followed up in 66 patients with liver hydatid disease at different times after surgery. Found that there are still 20 cases of cysts, the recurrence rate was 30.3% of which there is no case of re-infection worthy of study.The author believes that abdominal ultrasound scan as a tool for epidemiological investigation of hydatid disease and population groups Early diagnosis of great value.