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目的探讨儿童肝泡状棘球蚴病(HAE)生长特点。方法搜集45例确诊为HAE患儿(≤14岁),运用CT、MRI评估儿童HAE病灶的一般特点,进行PNM分型,评价其生长特点。结果肝脏P1病灶占11.1%(5/45),P2病灶占35.5%(16/45),P3病灶占15.6%(7/45),P4病灶占37.8%(17/45),88.9%(40/45)病灶最大直径>5 cm,71.1%(32/45)>10 cm。转移共占62.2%(28/45),单个组织器官转移占20.0%(9/45),多个组织器官转移占42.2%(19/45),P1病灶无转移,P2病灶转移占56.3%(9/16),P3病灶转移占85.7%(6/7),P4病灶转移占76.5%(13/17),直接侵犯邻近组织器官占35.6%(16/45),淋巴结转移33.3%(15/45),肺11.1%(5/45)。结论儿童泡球蚴病灶较巨大(除P1病灶),易直接侵犯邻近组织器官及通过淋巴结转移,以多部位组织器官转移常见,在一定程度上反映了儿童肝泡状棘球蚴病生长特点,对临床综合治疗提供重要的参考依据。
Objective To investigate the growth characteristics of children with hepatic alveolar hydatid disease (HAE). Methods Forty-five children with HAE who were diagnosed as HAE (≤14 years old) were collected. The general characteristics of children with HAE lesions were evaluated by CT and MRI. The PNM classification was used to evaluate their growth characteristics. Results P1 lesions accounted for 11.1% (5/45) in the liver, 35.5% (16/45) in the P2 lesions, 15.6% (7/45) in the P3 lesions, 37.8% (17/45) in the P4 lesions and 88.9% / 45) The maximum diameter of lesions> 5 cm, 71.1% (32/45)> 10 cm. A total of 62.2% (28/45) of the patients had metastasis, 20.0% (9/45) in single organ and organ metastasis, 42.2% (19/45) in multiple tissues and organs, no metastasis in P1 and 56.3% in P2 (16/45), lymph node metastasis (33.3%), lymph node metastasis (83.5%), lymph node metastasis 45), lung 11.1% (5/45). Conclusions Children with cysticercosis are more complicated (except for P1 lesions). They are prone to directly invade adjacent tissues and organs and metastasize through lymph nodes, and are often seen in multiple organs and organs. To a certain extent, they reflect the growth characteristics of children with hepatic alveolar hydatid disease, Clinical comprehensive treatment provides an important reference.