Principles of the surgical approach in human liver cystic echinococcosis
Principles of the surgical approach in human liver cystic echinococcosis
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DOI：
10.1016/s0001-706x(96)00641-9
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发表时间：
1997-04-01
期刊：
影响因子：
2.7
通讯作者：
Yarzabal, L
中科院分区：
文献类型：
--
作者：
Perdomo, R;Alvarez, C;Yarzabal, L
近年来，超声对肝囊型包虫病(CE)的诊断有很大贡献。便携式超声仪的使用使我们能够对居住在佛罗里达州(乌拉圭)CE高危地区的9482人进行社区调查。123例无症状患者超声检查结果为阳性。51例USG阳性病例中，48例经手术证实，3例假阳性。这项调查的结果使我们能够根据寄生虫的不同进化和消退阶段提出一种新的超声成像分类。比较了细粒棘球绦虫的包囊大小与寄生虫进化阶段的关系。对囊性病变的节段性地形图和CE的相关风险进行评估。指出了胆囊通的重要性，并阐述了胆囊通的合理外科治疗。最后，给出了一个便于选择合理处理方案的算法。(C)1997年爱思唯尔科学公司。
Ultrasonography (USG) has recently contributed much to the diagnostic of hepatic cystic echinococcosis (CE). The use of portable ultrasonograph allowed us to perform a community survey among 9482 people living in a high risk area for CE in the Florida Department (Uruguay). Positive USG results were found in 123 asymptomatic patients. 48 out of 51 USG positive cases were surgically confirmed and 3 were found to be false positive. The results of this survey allowed us to propose a new classification of the echographic imaging based on the parasite's various evolutive and involutive stages. The Echinococcus granulosus cyst size was compared with the parasite's evolutive stages. The cyst's segmentary topography and the related risk of CE is evaluated. The importance of cystic-biliary communication is pointed out and its rational surgical treatment described. Finally, an algorithm is presented facilitating the choice of a rational treatment. (C) 1997 Elsevier Science B.V.