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目的 探讨单囊性肝包虫病与肝囊肿鉴别要点.方法 回顾性分析2014年4月至2018年8月新疆医科大学第一附属医院收治的30例囊性肝包虫病和肝囊肿患者的相关临床资料,比较病史、影像学特征、免疫学检查等指标.结果 30例患者中,18例单囊型肝包虫病患者术前误诊为肝囊肿,12例肝囊肿患者术前误诊为肝囊型包虫病.嗜酸性粒细胞数(Eo#)(t=1.35,P＞0.05)、血清白蛋白(=0.38,P＞0.05)、天冬氨酸转氨酶(t=0.99,P＞0.05)、CT值(t=0.85,P＞0.05)等指标比较差异无统计学意义,但抗EgCF抗体(x2 =4.26,P＜0.05)和EgB抗体(x2=7.26,P＜0.05)比较,差异有统计学意义.结论 抗EgB抗体和抗EgCF抗体水平对肝囊型包虫病和肝囊肿具有鉴别诊断的价值.

Objective To invastigate how to differentiate the single cystic hepatic hydatidosis from single hepatic cysts.Methods From Apr 2014 to Aug 2018 at the First Affiliated Hospital of Xinjiang Medical University,30 cases of liver single cystic diseases were misdiagnosed · Relevant clinical data were compared including medical history,imaging features,immunological examination etc.Results 18 cases of echinococcosis were misdiagnosed as hepatic cysts before operation,and 12 patients with hepatic cysts were misdiagnosed as hepatic cystic echinococcosis before operation.There were no significant differences between the two groups in eosinophil count (Eo#) (t =1.35,P ＞ 0.05),albumin (t =0.38,P ＞ 0.05),aspartate aminotransferase (t =0.99,P ＞ 0.05),and CT values (t =0.85,P ＞ 0.05).The results suggest that antiEgCF antibody (x2 =4.26,P ＜ 0.05) and EgB antibody (x2 =7.26,P ＜ 0.05) are of significantly differential value in the identification of the two diseases.Conclusion Levels of anti-EgB and anti-EgCF antibodies to hepatic cystic echinococcosis are higher than that to single hepatic cysts.