中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R
Volume 38 Issue 3
Mar.  2022
Turn off MathJax
Article Contents

Research advances in peripheral vascular invasion of hepatic alveolar echinococcosis

DOI: 10.3969/j.issn.1001-5256.2022.03.046
Research funding:

Key Laboratory Project of Science and Technology Department of Qinghai Province (2020-ZJ-Y01)

More Information
  • Corresponding author: HOU Lizhao, zhuoyue_1973@163.com(ORCID: 0000-0002-5697-554X)
  • Received Date: 2021-07-19
  • Accepted Date: 2021-08-26
  • Published Date: 2022-03-20
  • Alveolar echinococcosis proliferates in the form of chronic infiltration and has no obvious symptoms and signs in the early stage, and when attending the hospital, some patients already have one or more complications and invasion of important intrahepatic vessels and bile ducts. The research on peripheral vascular invasion of alveolar echinococcosis may help to determine the best individualized treatment and thus improve the cure rate and prognosis of patients. This article reviews the pathological mechanism, clinical manifestations, imaging, clinical classification, and treatment of alveolar echinococcosis.

     

  • loading
  • [1]
    Sichuan Clinical Medical Research Center for Hydatid Diseases, Professional Committee for Hydatid Diseases of Sichuan Academy of Physicians. Expert consensus on diagnosis and treatment of alveolar hydatidosis (2020 edition)[J]. Chin J Bases Clin Gen Surg, 2020, 27(1): 13-17. DOI: 10.7507/1007-9424.201911105.

    四川省包虫病临床医学研究中心, 四川省医师协会包虫病专业委员会. 泡型肝包虫病诊疗专家共识(2020版)[J]. 中国普外基础与临床杂志, 2020, 27(1): 13-17. DOI: 10.7507/1007-9424.201911105.
    [2]
    GOTTSTEIN B, WANG J, BLAGOSKLONOV O, et al. Echinococcus metacestode: In search of viability markers[J]. Parasite, 2014, 21: 63. DOI: 10.1051/parasite/2014063.
    [3]
    China Association for the Promotion of International Health Care, Liver Tumor Branch. Expert consensus on hepatocellular carcinoma with vascular invasion (discussion draft)[J/CD]. Electronic J Liver Tumor, 2015, 2(3): 1-11.

    中国医疗保健国际交流促进会, 肝脏肿瘤分会. 肝细胞癌合并血管侵犯专家共识(讨论稿)[J/CD]. 肝癌电子杂志, 2015, 2(3): 1-11.
    [4]
    ROAYAIE S, BLUME IN, THUNG SN, et al. A system of classifying microvascular invasion to predict outcome after resection in patients with hepatocellular carcinoma[J]. Gastroenterology, 2009, 137(3): 850-855. DOI: 10.1053/j.gastro.2009.06.003.
    [5]
    LIU Y, HOU B, CHEN R, et al. Biliary collateral veins and associated biliary abnormalities of portal hypertensive biliopathy in patients with cavernous transformation of portal vein[J]. Clin Imaging, 2015, 39(5): 841-844. DOI: 10.1016/j.clinimag.2015.04.018.
    [6]
    EAPEN CE, MAMMEN T, MOSES V, et al. Changing profile of Budd Chiari syndrome in India[J]. Indian J Gastroenterol, 2007, 26(2): 77-81.
    [7]
    Chinese Doctor Association, Chinese College of Surgeons (CCS), Chinese Committee for Hadytidology(CCH). Expert consensus on diagnosis and treatment of hepatic cystic and alveolar echinococcosis (2019 edition)[J]. Chin J Dig Surg, 2019, 18(8): 711-721. DOI: 10.3760/cma.j.issn.1673-9752.2019.08.002.

    中国医师协会外科医师分会包虫病外科专业委员会. 肝两型包虫病诊断与治疗专家共识(2019版)[J]. 中华消化外科杂志, 2019, 18(8): 711-721. DOI: 10.3760/cma.j.issn.1673-9752.2019.08.002.
    [8]
    CAIRANGZHUOMA. Differential diagnosis of hepatic alveolar echinococcosis and hepatic tumor by conventional ultrasound and contrast-enhanced ultrasound[J]. J High Altitude Med, 2018, 28(3): 50-53. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYZ201803020.htm

    才让卓玛. 常规超声与超声造影对肝泡型包虫病与肝脏肿瘤的鉴别诊断[J]. 高原医学杂志, 2018, 28(3): 50-53. https://www.cnki.com.cn/Article/CJFDTOTAL-GYYZ201803020.htm
    [9]
    LIU J, LI ZY, LIU L, et al. Application of ultrasound in the diagnosis and preoperative evaluation of cystic hepatic echinococcosis[J]. Natl Med J China, 2020, 100(43): 3453-3456. DOI: 10.3760/cma.j.cn112137-20200428-01351.

    刘静, 李志艳, 刘雷, 等. 超声在囊型肝包虫病诊断及术前评估中的应用[J]. 中华医学杂志, 2020, 100(43): 3453-3456. DOI: 10.3760/cma.j.cn112137-20200428-01351.
    [10]
    ZHENG HF. Value of ultrasound contrast in differential diagnosis of hepatic alveolar echinococcosis and liver space occupying lesion[J]. China Contin Med Educ, 2016, 8(5): 44-45. DOI: 10.3969/j.issn.1674-9308.2016.05.029.

    郑惠芳. 超声造影在肝泡型包虫病与肝脏实性占位病变的鉴别诊断价值[J]. 中国继续医学教育, 2016, 8(5): 44-45. DOI: 10.3969/j.issn.1674-9308.2016.05.029.
    [11]
    MA SM, ZHENG YH, FAN HN, et al. Study on the infiltration zone of hepatic alveolar echinococcosis lesion with contrast-enhanced ultrasound parameters[J]. Chin J Ultrasound Med, 2016, 32(11): 1001-1003. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCY201611016.htm

    马淑梅, 郑云慧, 樊海宁, 等. 超声造影参数对肝泡型包虫病灶边缘浸润带的分析研究[J]. 中国超声医学杂志, 2016, 32(11): 1001-1003. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCY201611016.htm
    [12]
    Radiology of Infection Sub-branch, Radiology Branch, Chinese Medical Association; Committee on Radiology of Infectious, Radiology Branch, Chinese Medical Doctor Association. Expert consensus on the imaging diagnosis of hepatic echinococcosis[J]. J Clin Hepatol, 2021, 37(4): 792-797. DOI: 10.3969/j.issn.1001-5256.2021.04.014.

    中华医学会放射学分会传染病学组, 中国医师协会放射医师分会感染影像专业委员会. 肝包虫病影像学诊断专家共识[J]. 临床肝胆病杂志, 2021, 37(4): 792-797. DOI: 10.3969/j.issn.1001-5256.2021.04.014.
    [13]
    MARRONE G, CRINO' F, CARUSO S, et al. Multidisciplinary imaging of liver hydatidosis[J]. World J Gastroenterol, 2012, 18(13): 1438-1447. DOI: 10.3748/wjg.v18.i13.1438.
    [14]
    YAN YX, TIAN QS, WANG SJ, et al. Application value of positron emission tomography-computer tomography on the resectability and scope of hepatic alveolar echinococcosis[J/CD]. Chin J Liver Dis (Electronic Version), 2020, 12(4): 78-82. DOI: 10.3969/j.issn.1674-7380.2020.04.014.

    颜有霞, 田青山, 王顺娟, 等. 正电子发射-计算机断层显像在肝脏泡型棘球蚴病可切除性及切除范围中的应用价值[J/CD]. 中国肝脏病杂志(电子版), 2020, 12(4): 78-82. DOI: 10.3969/j.issn.1674-7380.2020.04.014.
    [15]
    HUANG YJ, ZHAO JQ, WANG J, et al. Diagnostic value of multi-slice spiral CT imaging in hepatic alveolar echinococcosis invasion into vessels[J]. J Xinjiang Med Univ, 2015, 38(10): 1216-1219. DOI: 10.3969/j.issn.1009-5551.2015.10.004.

    黄玉洁, 赵建卿, 王健, 等. 多层螺旋CT及血管成像对肝泡状棘球蚴血管受侵的诊断价值[J]. 新疆医科大学学报, 2015, 38(10): 1216-1219. DOI: 10.3969/j.issn.1009-5551.2015.10.004.
    [16]
    LIU WY, LOU JR, XING Y, et al. Evaluation of hepatic alveolar echinococcosis with multi-slices spiral CT[J]. Chin J Radiol, 2005, 39(8): 860-863. DOI: 10.3760/j.issn:1005-1201.2005.08.017.

    刘文亚, 楼俭茹, 邢艳, 等. 肝脏泡状棘球蚴病的多层螺旋CT影像特征[J]. 中华放射学杂志, 2005, 39(8): 860-863. DOI: 10.3760/j.issn:1005-1201.2005.08.017.
    [17]
    ZHUANG Y, YU X, ZHANG J, et al. Multi-slice spiral CT in the diagnosis and resectability evaluation of hepatic alveolar echinococcosis[J]. Chin J Bases and Clin Gen Surg, 2016, 23(1): 104-108. DOI: 10.7507/1007-9424.20160030.

    庄宇, 余鑫, 张菁, 等. 多层螺旋CT对肝泡状棘球蚴病的诊断与可切除性评价[J]. 中国普外基础与临床杂志, 2016, 23(1): 104-108. DOI: 10.7507/1007-9424.20160030.
    [18]
    LIU L, DING SR, PU P, et al. Diagnostic value of vascular system damage in hepatic alveolar echinococcosis with multi-slice spiral CT[J]. Chin J CT and MRI, 2016, 14(10): 74-76. DOI: 10.3969/j.issn.1672-5131.2016.10.024.

    刘丽, 丁世荣, 蒲鹏, 等. 多层螺旋CT对肝脏泡状棘球蚴病累及脉管系统的诊断价值[J]. 中国CT和MRI杂志, 2016, 14(10): 74-76. DOI: 10.3969/j.issn.1672-5131.2016.10.024.
    [19]
    QIU YW, YANG XW, SHEN S, et al. Application of three-dimentional visualized reconstruction technology in resection of treating hepatic alveolar echinococcosis[J]. Chin J Bases Clin Gen Surg, 2018, 25(5): 540-546. DOI: 10.7507/1007-9424.201711109.

    邱逸闻, 杨先伟, 沈舒, 等. 计算机三维可视化重建技术在肝泡型包虫病切除术中的应用[J]. 中国普外基础与临床杂志, 2018, 25(5): 540-546. DOI: 10.7507/1007-9424.201711109.
    [20]
    ZHANG HQ, BAO HH, LI WX, et al. Preoperative evaluation of hepatic alveolar echinococcosis by magnetic resonance multimodal imaging[J]. J High Altitude Med, 2020, 30(3): 10-15. DOI: 10.3969/j.issn.1007-3809.2020.03.004.

    张红迁, 鲍海华, 李伟霞, 等. 磁共振多模态成像对肝泡型包虫病的术前评价[J]. 高原医学杂志, 2020, 30(3): 10-15. DOI: 10.3969/j.issn.1007-3809.2020.03.004.
    [21]
    YE HY. Focus on "one-stop" imaging evaluation in preoperative and postoperative liver transplantation[J]. Chin J Radiol, 2008, 42(5): 453-454. DOI: 10.3321/j.issn:1005-1201.2008.05.001.

    叶慧义. 加强肝移植前后的"一站式"影像评估[J]. 中华放射学杂志, 2008, 42(5): 453-454. DOI: 10.3321/j.issn:1005-1201.2008.05.001.
    [22]
    YANG J, WU JW, WANG X. Application of dynamic contrast-enhanced in precise hepatectomy with 3.0T MR[J]. China Medical Devices, 2012, 27(1): 116-118. DOI: 10.3969/j.issn.1674-16332012.01.045.

    杨军, 吴建伟, 王轩. 3.0T磁共振动态增强在肝移植术中的应用价值[J]. 中国医疗设备, 2012, 27(1): 116-118. DOI: 10.3969/j.issn.1674-16332012.01.045.
    [23]
    LI HL, HOU LC, REN L, et al. Significance of Magnetic Resonance imaging in preoperative evaluation for patients with hepatic alveolar echinococcosis[J]. Chin J Bases and Clin Gen Surg, 2016, 23(5): 535-538. DOI: 10.7507/1007-9424.20160143.

    栗海龙, 候立朝, 任利, 等. MRI在泡型肝包虫病术前评估中作用的研究[J]. 中国普外基础与临床杂志, 2016, 23(5): 535-538. DOI: 10.7507/1007-9424.20160143.
    [24]
    WU JW, QU XL, GAO H, et al. Application of LAVA CE-MRA in hepatectomy for huge hepatic tumor[J]. Chin J Pract Surg, 2013, 33(11): 960-963. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201311019.htm

    吴建伟, 瞿献莉, 高红, 等. 磁共振肝脏容积加速采集增强血管成像在巨大肝脏肿瘤切除术中应用分析[J]. 中国实用外科杂志, 2013, 33(11): 960-963. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201311019.htm
    [25]
    YANG X, KANG Y, QIAO Y, et al. Magnetic resonance imaging evaluation of characteristics of vascular invasion in intermediate and advanced hepatic alveolar echinococcosis[J]. Exp Ther Med, 2019, 17(5): 4197-4204. DOI: 10.3892/etm.2019.7460.
    [26]
    ZHAO D, LAU WY, ZHOU W, et al. Impact of three-dimensional visualization technology on surgical strategies in complex hepatic cancer[J]. Biosci Trends, 2018, 12(5): 476-483. DOI: 10.5582/bst.2018.01194.
    [27]
    CHANG YN, LU W, NIE SD. Research on 3-D visualization technology and application of medical image[J]. Chin J Med Physics, 2012, 29(2): 3254-3258. DOI: 10.3969/j.issn.1005-202X.2012.02.012.

    常旖旎, 鲁雯, 聂生东. 医学图像三维可视化技术及其应用[J]. 中国医学物理学杂志, 2012, 29(2): 3254-3258. DOI: 10.3969/j.issn.1005-202X.2012.02.012.
    [28]
    KERN P, WEN H, SATO N, et al. WHO classification of alveolar echinococcosis: Principles and application[J]. Parasitol Int, 2006, 55 Suppl: s283-s287. DOI: 10.1016/j.parint.2005.11.041.
    [29]
    LI PP, WANG ZH, HUANG G, et al. Application of liver three-dimensional visualization technologies in the treatment planning of hepatic malignant tumor[J]. Chin J Surg, 2017, 55(12): 916-922. DOI: 10.3760/cma.j.issn.0529-5815.2017.12.008.

    李鹏鹏, 王志恒, 黄罡, 等. 肝脏三维可视化技术在肝脏恶性肿瘤治疗规划中的应用研究[J]. 中华外科杂志, 2017, 55(12): 916-922. DOI: 10.3760/cma.j.issn.0529-5815.2017.12.008.
    [30]
    HE YB, ZHAO JM, WEN H. Application of three-dimensional reconstruction technology in preoperative evaluation of liver transplantation[J/CD]. Prac J Organ Transplant (Electronic Version), 2013, 1(2): 124-128.

    何翼彪, 赵晋明, 温浩. 三维重建技术在肝脏移植术前评估中的应用现状[J/CD]. 实用器官移植电子杂志, 2013, 1(2): 124-128.
    [31]
    HE YB, BAI L, TUERGANAILI AJ, et al. Application of digital three-dimensional reconstruction in liver transplantation for hepatic alveolar echinocoecosis[J/CD]. Chin J Hepat Surg (Electronic Edition), 2015, 4(5): 279-283. DOI: 10.3877/cma.j.issn.2095-3232.2015.05.006.

    何翼彪, 白磊, 吐尔干艾力·阿吉, 等. 数字化三维重建技术在肝泡型包虫病肝移植中的应用[J/CD]. 中华肝脏外科手术学电子杂志, 2015, 4(5): 279-283. DOI: 10.3877/cma.j.issn.2095-3232.2015.05.006.
    [32]
    FAN YF, XIANG F, CAI W, et al. Three-dimensional classification of the right portal vein and liver segmentation based on three-dimensional visualization technology[J]. J South Med Univ, 2016, 36(1): 26-31. DOI: 10.3969/j.issn.1673-4254.2016.01.05.

    范应方, 向飞, 蔡伟, 等. 基于三维可视化技术的右半肝门静脉3D分型及分段[J]. 南方医科大学学报, 2016, 36(1): 26-31. DOI: 10.3969/j.issn.1673-4254.2016.01.05.
    [33]
    SHEN YD, LIN LH, CHIANG HJ, et al. Research of electrosurgical unit with novel antiadhesion composite thin film for tumor ablation: Microstructural characteristics, thermal conduction properties, and biological behaviors[J]. J Biomed Mater Res B Appl Biomater, 2016, 104(1): 96-105. DOI: 10.1002/jbm.b.33363.
    [34]
    JENKINS DJ. WHO/OIE manual on Echinococcosis in humans and animals: A public health problem of global concern[J]. Int J Parasitol, 2001, 31(14): 1717-1718. DOI: 10.1016/S0020-7519(01)00318-6
    [35]
    BRUNETTI E, KERN P, VUITTON DA, et al. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans[J]. Acta Trop, 2010, 114(1): 1-16. DOI: 10.1016/j.actatropica.2009.11.001.
    [36]
    KRATZER W, GRUENER B, KALTENBACH TE, et al. Proposal of an ultrasonographic classification for hepatic alveolar echinococcosis: Echinococcosis multilocularis Ulm classification-ultrasound[J]. World J Gastroenterol, 2015, 21(43): 12392-12402. DOI: 10.3748/wjg.v21.i43.12392.
    [37]
    WEN H, LUAN MX, YANG WG, et al. Study on standard classification and clinical significance for hepatic echinococcosis[J]. J Xinjiang Med Univ, 2002, 25(2): 129-130. DOI: 10.3969/j.issn.1009-5551.2002.02.005.

    温浩, 栾梅香, 杨文光, 等. 肝包虫病的标准化分型及临床意义探讨[J]. 新疆医科大学学报, 2002, 25(2): 129-130. DOI: 10.3969/j.issn.1009-5551.2002.02.005.
    [38]
    ABUDUSALAMU AN, SHAO YM, TUERGANAILI AJ, et al. Value of preoperative computed tomography and three-dimensional reconstruction of major vascular structures before ex vivo liver resection and autotransplantation for hepatic alveolar echinococcosis[J]. Chin J Organ Transplant, 2019, 40(4): 205-210. DOI: 10.3760/cma.j.issn.0254-1785.2019.04.004.

    阿卜杜萨拉木·艾尼, 邵英梅, 吐尔干艾力·阿吉, 等. CT和3D重建在肝泡型包虫病离体肝切除和自体肝移植术前评价重要血管中的作用[J]. 中华器官移植杂志, 2019, 40(4): 205-210. DOI: 10.3760/cma.j.issn.0254-1785.2019.04.004.
    [39]
    QIU Y, YANG X, SHEN S, et al. Vascular infiltration-based surgical planning in treating end-stage hepatic alveolar echinococcosis with ex vivo liver resection and autotransplantation[J]. Surgery, 2019, 165(5): 889-896. DOI: 10.1016/j.surg.2018.11.007.
    [40]
    Sichuan Clinical Medical Research Center for Hydatid Diseases, Professional Committee for Hydatid Diseases of Sichuan Academy of Physicians. Expert consensus on diagnosis and treatment of complex hepatic alveolar echinococcosis (2020 edition)[J]. Chin J Bases and Clin Gen Surg, 2020, 27(1): 18-23. DOI: 10.7507/1007-9424.201911096.

    四川省包虫病临床医学研究中心, 四川省医师协会包虫病专业委员会. 复杂肝泡型包虫病诊疗专家共识(2020版)[J]. 中国普外基础与临床杂志, 2020, 27(1): 18-23. DOI: 10.7507/1007-9424.201911096.
    [41]
    ZHANG HW, WU XW, ZHANG SJ, et al. Surgical treatment for compression of inferior vena cava by hepatic hydatid cyst[J]. Chin J Dig Surg, 2021, 20(2): 234-239. DOI: 10.3760/cma.j.cn115610-20210112-00018.

    张宏伟, 吴向未, 张示杰, 等. 肝包虫囊肿压迫下腔静脉的外科治疗[J]. 中华消化外科杂志, 2021, 20(2): 234-239. DOI: 10.3760/cma.j.cn115610-20210112-00018.
    [42]
    RAN B, MAIMAITINIJIATI Y, YASEN A, et al. Feasibility of retrohepatic inferior vena cava resection without reconstruction for hepatic alveolar echinococcosis[J]. Am Surg, 2021, 87(3): 443-449. DOI: 10.1177/0003134820951457.
    [43]
    AKBULUT S, SAHIN TT. Comment on a new treatment strategy for end-stage hepatic alveolar echinococcosis: IVC resection without reconstruction[J]. Int J Surg Case Rep, 2021, 84: 106145. DOI: 10.1016/j.ijscr.2021.106145.
    [44]
    GUO Y, ZHU WJ, ZHAO SY, et al. Surgical treatment strategy for complex hepatic echinococcosis: A review[J]. Chin J Schisto Control, 2018, 30(6): 705-708. DOI: 10.16250/j.32.1374.2018169.

    郭亚民, 朱文君, 赵顺云, 等. 复杂性肝棘球蚴病外科治疗策略研究进展[J]. 中国血吸虫病防治杂志, 2018, 30(6): 705-708. DOI: 10.16250/j.32.1374.2018169.
    [45]
    BRESSON-HADNI S, BLAGOSKLONOV O, KNAPP J, et al. Should possible recurrence of disease contraindicate liver transplantation in patients with end-stage alveolar echinococcosis? A 20-year follow-up study[J]. Liver Transpl, 2011, 17(7): 855-865. DOI: 10.1002/lt.22299.
    [46]
    WANG Y, ZHANG Y, DENG SP, et al. The clinical effect of autologous liver transplantation in the treatment of advanced hepatic alveolar echinococcosis: A report of 16 case[J]. Pract J Clin Med, 2019, 16(3): 59-63. DOI: 10.3969/j.issn.1672-6170.2019.03.018.

    王燚, 张宇, 邓绍平, 等. 自体肝移植技术治疗晚期肝泡型包虫病16例临床疗效分析[J]. 实用医院临床杂志, 2019, 16(3): 59-63. DOI: 10.3969/j.issn.1672-6170.2019.03.018.
    [47]
    YANG X, QIU Y, HUANG B, et al. Novel techniques and preliminary results of ex vivo liver resection and autotransplantation for end-stage hepatic alveolar echinococcosis: A study of 31 cases[J]. Am J Transplant, 2018, 18(7): 1668-1679. DOI: 10.1111/ajt.14621.
    [48]
    SHEN S, KONG J, ZHAO J, et al. Outcomes of different surgical resection techniques for end-stage hepatic alveolar echinococcosis with inferior vena cava invasion[J]. HPB (Oxford), 2019, 21(9): 1219-1229. DOI: 10.1016/j.hpb.2018.10.023.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (569) PDF downloads(32) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return