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目的 探讨非牧区肝包虫病的诊断与治疗。方法 对我院 1983年 5月至 1999年 5月期间收治的 16例肝包虫病进行回顾性分析。结果 16例患者中只有 8例有临床症状和牧区生活接触史 ,所测 10例患者的Casoni试验及间接血凝集试验的敏感性均为 90 % ,CT检查的诊断准确率 (5 /10 )明显高于B超检查的诊断准确率 (3/14 )。手术治疗 15例 ,效果良好 ,无手术死亡、过敏性休克及播散种植发生。结论 对肝包虫病的充分认识及警惕是早期诊断和正确处理该病的关键 ,同时应结合Casoni试验和间接血凝集试验 ,以及B超和CT检查综合分析 ,以尽早明确诊断。外科手术是肝包虫病的主要治疗方法 ,术中应遵循“无瘤手术”原则 ,消灭囊腔 ,防止并发症的发生
Objective To investigate the diagnosis and treatment of hepatic hydatid disease in non-pastoral areas. Methods A retrospective analysis of 16 cases of hepatic hydatid disease admitted to our hospital from May 1983 to May 1999 was performed. Results Only 8 of 16 patients had clinical symptoms and history of pastoral life. The sensitivity of Casoni test and indirect hemagglutination test were 90% in 10 patients and 5/10 in CT test. Significantly higher than the B-ultrasound diagnostic accuracy (3/14). Surgical treatment of 15 cases, the effect is good, no operative death, anaphylactic shock and disseminated planting occurred. Conclusion The full understanding and vigilance of hepatic hydatid disease is the key to early diagnosis and proper treatment of the disease. Combined with Casoni test and indirect hemagglutination test, combined with B-ultrasound and CT examination, the diagnosis should be made as soon as possible. Surgery is the main treatment of hepatic hydatid disease, surgery should follow the principle of "tumor-free surgery, eliminate the cysts, to prevent the occurrence of complications