摘要
目的了解目前对肝棘球蚴病(hepatic echinococcosis,HE)的诊断现状及新进展。方法对近年来国内外研究者在HE诊断方面的相关研究文献进行检索并归纳总结。结果HE在全球范围内广泛分布,具有极高的致死率和致残率,对当地经济发展和公共健康构成严重威胁。目前,HE的诊断除了传统较为公认的根据流行病学史、临床表现、常规影像学及实验室检查外,在该领域涌现出许多基于这些传统诊断方法的创新技术,比如基于超声等的影像图像资料构建的诊断预测模型、人工智能、三维可视重建、循环游离DNA检查等,均有助于提高HE的诊断率。结论近年来,随着医学水平的不断提升,对HE进行深入的探索,在诊断方面有了显著进展,不仅为该病的早期诊断提供了新的可能,也为相关领域的研究和防控措施的制定提供了重要依据。因此,进一步推广和应用这些新技术,将有助于推进HE的诊断进展,降低HE对患者健康的影响。
Objective To comprehend the current diagnosis status and new progress of hepatic echinococcosis(HE).Method The literature from domestic and foreign researchers relevant diagnosis of HE in recent years was searched and summarized.Results The HE was widely distributed worldwide,with extremely high mortality and disability rates,posing a serious threat to local economic development and public health.At present,in addition to the traditional and widely recognized diagnostic methods based on epidemiological histories,clinical manifestations,routine imaging,and experimental examinations,many innovative technologies based on these traditional diagnostic methods had emerged in the field of HE diagnosis,such as diagnostic prediction models constructed based on ultrasound and other imaging data,artificial intelligence,three-dimensional visual reconstruction,and circulating free DNA testing,which significantly improved the diagnosis rate of the HE.Conclusions In recent years,with the continuous improvement of medical level,the in-depth and perfect exploration of HE has made remarkable progress,which not only provides a new possibility for the early diagnosis of the HE,but also provides an important basis for research in related fields and the formulation of prevention and control measures.Therefore,the further promotion and application of these new techniques will aid to promote the diagnosis progress of HE and reduce its impact on population health.
作者
刘海刚
东小鸽
周攀登
樊海宁
庞明泉
侯立朝
LIU Haigang;DONG Xiaoge;ZHOU Pandeng;FAN Haining;PANG Mingquan;HOU Lizhao(Clinical Medical College,Qinghai University,Xining 810001,P.R.China;Department of Hepatopancreatobiliary Surgery,Affiliated Hospital of Qinhai University,Xining 810001,P.R.China;Qinghai Research Key Laboratory for Echinococcosis,Xining 810001,P.R.China)
出处
《中国普外基础与临床杂志》
CAS
2024年第10期1210-1220,共11页
Chinese Journal of Bases and Clinics In General Surgery
基金
2023年国家临床重点专科建设项目-青海大学附属医院肝胆外科(包虫病)
青海省2022年第3批科技计划项目-青海省包虫病研究重点实验室。
关键词
肝棘球蚴病
肝包虫病
诊断
人工智能
三维可视化重建
循环游离DNA
hepatic echinococcosis
liver hydatid disease
diagnosis
artificial intelligence
three-dimensional visual reconstruction
circulating free DNA
