肝泡状棘球蚴病的诊断和治疗

方丹; 陈哲宇

doi:10.3969/j.issn.1001-5256.2017.05.042

肝泡状棘球蚴病的诊断和治疗

DOI: 10.3969/j.issn.1001-5256.2017.05.042

方丹,
陈哲宇

四川大学华西医院

详细信息

中图分类号: R532.32
计量
- 文章访问数: 2274
- HTML全文浏览量: 51
- PDF下载量: 430
- 被引次数: 0
出版历程
- 出版日期: 2017-05-20

Diagnosis and treatment of hepatic alveolar echinococcosis

West China Hospital, Sichuan University

摘要

摘要:
泡状棘球蚴可寄生于人体多个脏器,以肝脏最为多见。对肝泡状棘球蚴病的诊断和治疗作一简要阐述,肝泡状棘球蚴病的诊断包括疫区流行范围、血清学、超声、影像学、病理学诊断,治疗包括根治性肝切除术、姑息性肝切除术、肝移植、高强度聚焦超声、射频消融、超声或CT引导下经皮经肝胆管引流术和药物治疗。对于流行地区高危人群可定期筛查,早期诊断,防治结合,以改善预后,延长生存期。
- 棘球蚴病,肝 /
- 诊断 /
- 治疗 /
- 综述
Abstract:
Alveolar echinococcus can be found in various organs of the body, with the liver as the most common organ.This article briefly elaborates on the diagnosis and treatment of hepatic alveolar echinococcosis.The diagnosis of this disease includes epidemic areas, serology, ultrasound, imaging examination, and pathological diagnosis, and its treatment includes radical hepatectomy, palliative hepatectomy, liver transplantation, high-intensity focused ultrasound, radiofrequency ablation, ultrasound-or CT-guided percutaneous biliary drainage, and pharmacotherapy.Regular screening, early diagnosis, and a combination of prevention and treatment should be performed for the high-risk population in epidemic areas to improve prognosis and prolong survival time.
- echinococcosis, hepatic /
- diagnosis /
- therapy /
- review

HTML全文

参考文献(30)

[1]PARSAK CK, DEMIRYUREK HH, INAL M, et al.Alveolar hydatid disease:imaging findings and surgical approach[J].Acta Chirurgica Belgica, 2007, 107 (5) :572-577.

[2]CHEN ZY.Current status of surgical treatment of hepatic alveolar echinococcosis[J].Chin J Bases Clin General Surg, 2016, 23 (5) :513-516. (in Chinese) 陈哲宇.泡型肝包虫病的外科治疗现状[J].中国普外基础与临床杂志, 2016, 23 (5) :513-516.

[3]ITOH M, SAKO Y, ITOH S, et al.Immunodiagnosis of alveolar echinococcosis using urine samples[J].Parasitol Int, 2013, 62 (6) :514-516.

[4]HATIPOGLU S, BULBULOGLU B, PISKIN T, et al.Living donor liver transplantation for alveolar echinococcus is a difficult procedure[J].Transplant Proc, 2013, 45 (3) :1028-1030.

[5]JOLIAT GR, MELLOUL E, PETERMANN D, et al.Outcomes after liver resection for hepatic alveolar echinococcosis:a single-center cohort study[J].World J Surg, 2015, 39 (10) :2529-2534.

[6]CHEN ZY.Choice of treatment for hepatic hydatid disease[J/CD].Chin J Clinicians:Electronic Edition, 2015, 9 (18) :3329-3331. (in Chinese) 陈哲宇.肝包虫病的治疗方法选择[J/CD].中国临床医师杂志:电子版, 2015, 9 (18) :3329-3331.

[7]CHEN ZY.The treatment of hepatic echinococcosis[J].Chin J Bases Clin General Surg, 2015, 22 (2) :129-130. (in Chinese) 陈哲宇.肝包虫病的治疗[J].中国普外基础与临床杂志, 2015, 22 (2) :129-130.

[8]KOCH S, BRESSON-HADNI S, MIGUET JP, et al.Experience of liver transplantation for incurable alveolar echinococcosis:a 45-case European collaborative report[J].Transplantation, 2003, 75 (6) :856-863.

[9]POLAT KY, BALIK AA, CELEBI F.Hepatic alveolar echinococcosis:clinical report from an endemic region[J].Can J Surg, 2002, 45 (6) :415-419.

[10]ATANASOV G, BENCKERT C, THELEN A, et al.Alveolar echinococcosis-spreading disease challenging clinicians:a case report and literature review[J].World J Gastroenterol, 2013, 19 (26) :4257-4261.

[11]KNAPP J, SAKO Y, GRENOUILLET F, et al.Comparison of the serological tests ICT and ELISA for the diagnosis of alveolar echinococcosis in France[J].Parasite, 2014, 21:34.

[12]MADHUSUDHAN KS, SRIVASTAVA DN, DASH NR, et al.Alveolar echinococcosis of liver:a diagnostic problem in a Nonendemic Area[J].Curr Probl Diagn Radiol, 2015, 44 (2) :221-226.

[13]AYIFUHAN A, TUERGANAILI A, JUN C, et al.Surgical treatment for hepatic alveolar echinococcosis:report of 50 cases[J].Hepatogastroenterology, 2012, 59 (115) :790-793.

[14]ZHANG HZ, CHEN ZY, YAN LN, et al.A single-center experience on surgical treatment of hepatic echinococcosis[J].Chin J Bases Clin General Surg, 2015, 22 (2) :144-148. (in Chinese) 张瀚之, 陈哲宇, 严律南, 等.肝包虫病外科治疗的单中心经验[J].中国普外基础与临床杂志, 2015, 22 (2) :144-148.

[15]TIAN BZ, WU JS, SHEN XB, et al.Anatomic hemihepatectomy guided by middle hepatic vein:report of 58 cases[J].Chin J Gen Surg, 2013, 22 (1) :14-17. (in Chinese) 田秉璋, 吴金术, 沈贤波, 等.循肝中静脉的解剖性半肝切除:附58例报告[J].中国普通外科杂志, 2013, 22 (1) :14-17.

[16]BUTTENSCHOEN K, SCHORCHT P, REUTER S, et al.Die chirurgische therapie der alveolren echinokokkose und deren langzeitergebnisse[J].Chirurg, 2001, 72 (5) :566-572.

[17]BUTTENSCHOEN K, CARLI BUTTENSCHOEN D, GRUENER B, et al.Long-term experience on surgical treatment of alveolar echinococcosis[J].Langenbecks Arch Surg, 2009, 394 (4) :689-698.

[18]BUTTENSCHOEN K, GRUENER B, CARLI BUTTENSCHOEN D, et al.Palliative operation for the treatment of alveolar echinococcosis[J].Langenbecks Arch Surg, 2009, 394 (1) :199-204.

[19]FANG D, CHEN ZY, ZENG Y, et al.Surgical treatment of hepatic alveolar echinococcosis[J].Chin J Bases Clin General Surg, 2016, 23 (5) :521-525. (in Chinese) 方丹, 陈哲宇, 曾勇, 等.泡型肝包虫病的外科治疗[J].中国普外基础与临床杂志, 2016, 23 (5) :521-525.

[20]CHEN Y, YANG KM, HUANG X, et al.Excision in stages for multiple large alveolar echinococcosis in the liver and spleen:a case report[J].Chin J Bases Clin General Surg, 2016, 23 (5) :544-546. (in Chinese) 陈颖, 杨康明, 黄详, 等.肝脾多发巨大泡型包虫病分期切除1例报道[J].中国普外基础与临床杂志, 2016, 23 (5) :544-546.

[21]KARADAS S, CUMHUR DA, BILGE G, et al.A case of BuddChiari syndrome associated with alveolar echinococcosis[J].J Pak Med Assoc, 2014, 64 (4) :465-467.

[22]LI ZA, TUERGANAILI AJ, RAN B, et al.Reduced-size hepatectomy for advanced giant hepatic alveolar echinococcosis[J].Chin J Gen Surg, 2012, 21 (7) :864-868. (in Chinese) 李作安, 吐尔干艾力·阿吉, 冉博, 等.“减体积式病灶肝切除”治疗晚期肝巨大泡型包虫病的临床应用[J].中国普通外科杂志, 2012, 21 (7) :864-868.

[23]LIANG D, LI GP, FU ZC, et al.Clinical treatment of hepatic alveolar echinococcosis[J].J Hepatobiliary Surg, 2004, 12 (5) :364-366. (in Chinese) 梁东, 李桂萍, 傅振超, 等.肝泡状棘球蚴病的临床治疗[J].肝胆外科杂志, 2004, 12 (5) :364-366.

[24]OZDEMIR F, INCE V, BARUT B, et al.Living donor liver transplantation for echinococcus alveolaris:single-center experience[J].Liver Transpl, 2015, 21 (8) :1091-1095.

[25]KADRY Z, RENNER EC, BACHMANN LM, et al.Evaluation o treatment and long-term follow-up in patients with hepatic alveolar echinococcosis[J].Br J Surg, 2005, 92 (9) :1110-1116.

[26] AYIFUHAN AH, CAO J, TUERGANAILI, et al.Treatment of advanced he-patic alveolar echinococcosis:an analysis of 47 cases[J].Chin J Gen Surg, 2011, 26 (7) :617-618. (in Chinese) 阿依甫汗·阿汗, 曹峻, 吐尔干艾力, 等.晚期肝泡型包虫病47例治疗分析[J].中华普通外科杂志, 2011, 26 (7) :617-618.

[27]ZHANG SJ, LI J.Application and perspectives of high-intensity focused ultrasound in hepatobiliary-pancreatic-splenic surgery[J/CD].Chin J Hepatic Surg:Electronic Edition, 2014, 3 (3) :136-138. (in Chinese) 张水军, 李捷.高强度聚焦超声在肝胆胰脾外科中的应用及展望[J/CD].中华肝脏外科手术学电子杂志, 2014, 3 (3) :136-138.

[28]TAMAROZZI F, VUITTON L, BRUNETTI E, et al.Non-surgica and non-chemical attempts to treat echinococcosis:do they work?[J].Parasite, 2014, 21:75.

[29]ZHANG YH, LI QJ, RAN LF, et al.Analysis of clinical eff ects about high intensity focused ultrasound in treatment of 8 hepatic echinococosis[J].Chin J Bases Clin General Surg, 2015, 22 (2) :149-153. (in Chinese) 张亚辉, 李屈进, 冉立峰, 等.高能聚焦超声治疗8例肝包虫病的临床疗效分析[J].中国普外基础与临床杂志, 2015, 22 (2) :149-153.

[30]ABUDUAINI ABLZ, WEN H.Advances in multidisci-plinary individualized treatment of refractory hepatic alveolar echino-coccosis[J].J Clin Hepatol, 2015, 31 (4) :639-641. (in Chinese) 阿卜杜艾尼·啊卜力孜, 温浩.难治性肝泡型包虫病的多学科个体化治疗[J].临床肝胆病杂志, 2015, 31 (4) :639-641.

施引文献

资源附件(0)

访问统计