肝包虫病诊断和手术治疗新进展
Advancement of diagnosis and surgical treatment for hepatic echinococcosis
Hepatic echinococcosis(HE)is a zoonosis seriously affecting the population in west China.Computed tomography(CT),magnetic resonance angiography,ultrasound angiography can be used for detection of HE with the advantages of multiple angles and high definition.CT perfusion imaging,magnetic resonance perfusion imaging,diffusion weighted imaging and magnetic resonance spectrum may provide molecular imaging to visualize HE in vitro.Total cystectomy is a radical method for the treatment of hepatic cystic echinococcosis (HCE),but has the drawbacks of HE recurrence and bile leakage;subradical cystectomy not only eliminate residual cavity of HAE,but also effectively avoids the risks which might be caused by total cystectomy.Radical hepatectomy is the first choice for the treatment of hepatic alveolar echinococcosis(HAE),while for patients with end-stage HCE,liver transplantation is the final choice of treatment.
更多@@ 包虫病又名棘球蚴病,是一种古老的人畜共患性寄生虫病,世界性分布,中国西部属高发地区.人体包虫病主要分为两型,即囊型包虫病和泡型包虫病.近代诊断学和外科学发展迅猛,包虫病的诊断和治疗取得了巨大的进步.本文通过总结1956年至2010年我院收治的8070例包虫病患者临床诊断和治疗经验以及分析多次大规模包虫病普查结果,旨在介绍肝包虫病的诊断和治疗新进展.
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