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24例肝泡型包虫病(泡球蚴病)患者,均来自四川省甘孜州牧区,男19例,女5例,年龄22~71岁(平均44岁);病程1月~16年(8例<1年,16例≥1年);按临床表现分为四型:单纯肝肿大型,8例,梗阻性黄疸型,7例,巨肝结节型(又名类肝癌型),6例;远处转移型(肺、脑),3例。免疫学检查(包虫皮试+血清ELISA)结果均呈阳性;B超和CT扫描显示病变累及肝脏左叶者3例,右叶占14例,左右叶均受累者7例;肝门受累8例;病变中心坏死液化15例,内有斑点状钙化16例。对本病的诊断和治疗进行了重点分析讨论。
Twenty-four patients with hepatic echinococcosis (alveolar hydatid disease) were from the pastoral area of Ganzi Prefecture in Sichuan Province. There were 19 males and 5 females, aged from 22 to 71 (mean age 44 years). The course of disease ranged from 1 month to 16 years 8 cases <1 year, 16 cases ≥ 1 year); According to the clinical manifestations were divided into four types: simple hepatomegaly, 8 cases of obstructive jaundice, 7 cases of giant liver nodules (also known as hepatocellular carcinoma type) 6 cases; distant metastasis (lung, brain), 3 cases. Immunoassay (Epleural skin test + serum ELISA) results were positive; B-scan and CT scan showed lesions in the left lobe in 3 cases, right in 14 cases, left and right leaves were involved in 7 cases; hilar involvement 8 Cases; lesions in the center of 15 cases of liquefied necrosis, there are 16 cases of speckled calcification. The diagnosis and treatment of the disease were analyzed and discussed.