摘要
目的回顾性研究我国肝外包虫病的分布、临床症状特点、诊断及治疗概况。方法利用中国知网和万方数据库检索2000-2015年中国（不包括港澳台地区）肝外包虫病的相关病例报道并进行回顾性分析总结。结果纳入2000-2015年发表的肝外包虫病相关文献66篇共884例病例,其中分布以新疆最多（68.73%）,其次为西藏（8.77%）、宁夏（6.75%）、青海（6.41%）、甘肃（5.62%）几个地区;器官分布以肺最多（61.09%）,其次为骨（9.95%）、脑（9.73%）、脾（8.60%）、肾（6.22%）等居多;患者临床症状主要以一般占位症状及包虫所在器官功能异常为主;行影像学及免疫学检查者最多,X线（30.77%）、B超（7.47%）、CT（17.43%）、MR（1.59%）、实验室检查（36.31%）;临床治疗大部分患者采取外科手术（73.30%）,部分患者辅以药物化疗。结论我国肝外包虫病的分布与包虫病整体分布大致相同,其肝外分布多在血供丰富的器官,临床诊断以影像学及免疫学检查为主,手术仍为其治疗的主要手段。
Objective To summarize regional and body distributions, diagnosis, treatment, and prognosis of echinococcosis outside liver in China. Methods The published literatures about echinococcosis outside liver in China（not including Hong Kong, Macao and Taiwan regions） from 2000 to 2015 were searched in the databases of CNKI and Wanfang. Data were extracted by using a standardized form and a retrospective clinical analysis was performed. Results A total of 66 published literatures about echinococcosis outside liver and data of 884 cases reported were collected. The regional proportions of cases reported were different, five high regions were Xinjiang（68.73%）, Tibet（8.77%）, Ningxia（6.75%）, Qinghai（6.41%）, Gansu（5.62%）. The organ distributions of cases reported were also different, five high organs were lung（61.09%）, bone（9.95%）, brain（9.73%）, spleen（8.60%）, and kidney（6.22%）. The main clinical symptoms of patients with echinococcosis outside liver included general asymptoms and organ dysfunction, and the most common examinations were X-ray（30.77%）, B ultrasound（7.47%）, CT（17.43%）, MR（1.59%）, and laboratory（36.31%）. The main therapy choice was operation（73.30%）, and some patients were performed operation combined with drug therapy. Conclusion Regional distribution of echinococcosis outside liver is almost the same as total echinococcosis, and distributed more in organs rich in blood supply, its clinical diagnosis mainly depends on imaging and immunology examination, and operation is still the main therapy choice.
出处
《中国普外基础与临床杂志》
CAS
2016年第5期539-543,共5页
Chinese Journal of Bases and Clinics In General Surgery
基金
2015年度卫生计生委员会指导性课题[编号:(2015)18号)]~~
关键词
肝外包虫病
文献回顾
分析总结
Echinococcosis outside liver
Literature review
Analysis and conclusion
