Analysis of Clinical Effects about High Intensity Focused Ultrasound in Treatment of 8 Hepatic Echinococosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANGYa-hui ^1,2 , LIQu-jin ¹ , RANLi-feng ³ , ZHUHui ³ ,  GONGJian-ping ¹

1. Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China;
2. The Second Department of Surgery, Tradition Chinese Medicine Hospital of Rongchang County, Rongchang 402460, Chongqing, China;
3. Clinical Center for Tumor Therapy, The Second Clinical College and Affiliated Hospital, Chongqing Medical University, Chongqing 400010, China;

Corresponding author：

GONGJian-ping, Email: gongjianping11@126.com

Keywords：

Hepatic echinococcosis; Liver hydatid cyst disease; High intensity focused ultrasound

DOI：

10.7507/1007-9424.20150041

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the safety and effectiveness of high intensity focused ultrasound (HIFU) in treatment of hepatic echinococcosis. Methods The clinical data of 8 patients with hepatic echinococcosis from 2008 to 2010 in the HIFU treatment center of The Second Affiliated Hospital of Chongqing Medical University were analyzed retrospectively, the effect of HIFU treatment, postoperative liver area pain, fever, skin burn and other complications were evaluated, the prognosis and recurrence were followed-up. Results All the clinical manifestations and imaging manifes-tations of these 8 patients were improved after HIFU treatment. The liver functions of all the patients were injuried, which all were returned to normal within 5 days. Three patients suffered from fever and recovered within 6 days. Six patients appeared pain of liver area and relieved within 7 days. Operation area skin was basically normal, except 3 cases of mild swelling, no special complications happened. Conclusion From the limited data initially shows that it is a safe and effec-tive method of HIFU in treatment of hepatic echinococcosis, which is little invasion and less postoperative complications.

Citation： ZHANGYa-hui, LIQu-jin, RANLi-feng, ZHUHui, GONGJian-ping. Analysis of Clinical Effects about High Intensity Focused Ultrasound in Treatment of 8 Hepatic Echinococosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(2): 149-153. doi: 10.7507/1007-9424.20150041 Copy

1.	Chai JJ. Epidemiological studies on cystic echinococcosis in China-a review. Biomed Environ Sci, 1995, 8(2): 122-136.
2.	Akhan O, Ozmen MN, Dinçer A, et al. Liver hydatid disease: long-term results of percutaneous treatment. Radiology, 1996, 198(1): 259-264.
3.	Nunnari G, Pinzone MR, Gruttadauria S, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol, 2012, 18(13): 1448-1458.
4.	Sayek I, Tirnaksiz MB, Dogan R. Cystic hydatid disease: Current trends in diagnosis and management. Surg Today, 2004, 34(12): 987-996.
5.	徐明谦, 董兆虎.肝包虫病的CT诊断.中华放射学杂志, 1995, 29(9): 612-615.
6.	Brunetti E, White AC Jr. Cestode infestations: hydatid disease and cysticercosis. Infect Dis Clin North Am, 2012, 26(2): 421-435.
7.	牟永山.肝包虫病28例诊治体会.肝胆外科杂志, 2002, 10(2): 120-121.
8.	郭丽英, 栾梅香.学龄前儿童肝包虫病的诊断和治疗体会.中华肝胆外科杂志, 2003, 9(1): 13.
9.	朱马拜, 阿尔新, 叶尔江, 等.包虫病快速诊断试验与包虫囊液皮内过敏试验对比研究.中国普通外科杂志, 2005, 7(7): 549-550.
10.	Safioleas MC, Misiakos EP, Kouvaraki M, et al. Hydatid disease of the liver: a continuing surgical problem. Arch Surg, 2006, 141(11): 1101-1108.
11.	王怀禄, 孙厚坦, 赵夏夏, 等.肝包虫病术后复发因素的探讨.中国寄生虫学与寄生虫病杂志, 1997, 15(1): 64.
12.	邹晓毅, 叶彬, 王俊安, 等.高强度聚焦超声波对细粒棘球绦虫原头节酶活性的影响.中国人兽共患病学报, 2007, 23(11): 1097-1100.
13.	金成兵, 冉立峰, 杨炜, 等. HIFU联合立体定向放疗治疗肝脏恶性肿瘤的初步临床观察.中国超声医学杂志, 2011, 27(7): 659-662.
14.	金成兵, 冉立峰, 杨炜, 等.高强度聚焦超声治疗放疗后残留肝癌的初步临床观察.中华超声影像学杂志, 2011, 20(1): 22-25.
15.	Vaezy S, Zderic V. Hemorrhage control using high intensity focused ultrasound. Int J Hyperthermia, 2007, 23(2): 203-211.
16.	Gollackner B, Langle F, Auer H, et al. Radical surgical therapy of abdominal cystic hydatid disease: Factors of recurrence. World J Surg, 2000, 24(6): 717-721.

1. Chai JJ. Epidemiological studies on cystic echinococcosis in China-a review. Biomed Environ Sci, 1995, 8(2): 122-136.
2. Akhan O, Ozmen MN, Dinçer A, et al. Liver hydatid disease: long-term results of percutaneous treatment. Radiology, 1996, 198(1): 259-264.
3. Nunnari G, Pinzone MR, Gruttadauria S, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol, 2012, 18(13): 1448-1458.
4. Sayek I, Tirnaksiz MB, Dogan R. Cystic hydatid disease: Current trends in diagnosis and management. Surg Today, 2004, 34(12): 987-996.
5. 徐明谦, 董兆虎.肝包虫病的CT诊断.中华放射学杂志, 1995, 29(9): 612-615.
6. Brunetti E, White AC Jr. Cestode infestations: hydatid disease and cysticercosis. Infect Dis Clin North Am, 2012, 26(2): 421-435.
7. 牟永山.肝包虫病28例诊治体会.肝胆外科杂志, 2002, 10(2): 120-121.
8. 郭丽英, 栾梅香.学龄前儿童肝包虫病的诊断和治疗体会.中华肝胆外科杂志, 2003, 9(1): 13.
9. 朱马拜, 阿尔新, 叶尔江, 等.包虫病快速诊断试验与包虫囊液皮内过敏试验对比研究.中国普通外科杂志, 2005, 7(7): 549-550.
10. Safioleas MC, Misiakos EP, Kouvaraki M, et al. Hydatid disease of the liver: a continuing surgical problem. Arch Surg, 2006, 141(11): 1101-1108.
11. 王怀禄, 孙厚坦, 赵夏夏, 等.肝包虫病术后复发因素的探讨.中国寄生虫学与寄生虫病杂志, 1997, 15(1): 64.
12. 邹晓毅, 叶彬, 王俊安, 等.高强度聚焦超声波对细粒棘球绦虫原头节酶活性的影响.中国人兽共患病学报, 2007, 23(11): 1097-1100.
13. 金成兵, 冉立峰, 杨炜, 等. HIFU联合立体定向放疗治疗肝脏恶性肿瘤的初步临床观察.中国超声医学杂志, 2011, 27(7): 659-662.
14. 金成兵, 冉立峰, 杨炜, 等.高强度聚焦超声治疗放疗后残留肝癌的初步临床观察.中华超声影像学杂志, 2011, 20(1): 22-25.
15. Vaezy S, Zderic V. Hemorrhage control using high intensity focused ultrasound. Int J Hyperthermia, 2007, 23(2): 203-211.
16. Gollackner B, Langle F, Auer H, et al. Radical surgical therapy of abdominal cystic hydatid disease: Factors of recurrence. World J Surg, 2000, 24(6): 717-721.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of Clinical Effects about High Intensity Focused Ultrasound in Treatment of 8 Hepatic Echinococosis

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