Current Status of Treatment of Hepatic Echinococcosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANGYa-fei , LUHong-wei , JIHong , ZHAOEn-fa ,  LIYi-ming

Department of General Surgery, The Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an 710004, Shaanxi Province, China;

Corresponding author：

LIYi-ming, Email: liyiming2003@sina.com

Keywords：

Hepatic echinococcosis; Operation treatment; Drug treatment; Clinical pathway

DOI：

10.7507/1007-9424.20150044

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To understand the current situation in the treatment of hepatic echinococcosis. Method The literatures about operation treatment, drug treatment, and the clinical pathway of hepatic echinococcosis were reviewed. Results Currently, with the continuous development of surgical techniques and the application of minimally invasive surgery, the operative treatments of hepatic echinococcosis had made a great progress, it was still the preferred treatment for the disease. Liver transplantation was made as the final choice. The use of aspiration, sclerotherapy or interventional technique brought a hope for patients intolerant to laparotomy. Moreover, chemotherapy drugs, Chinese herbal medicine, and drug combinations also achieved a very good effect in the treatment of hepatic echinococcosis. The clinical pathway provided a good direction for the treatment of hepatic echinococcosis. Conclusion For the treatment of hepatic echinococcosis various, we should choice a reasonable treatment according to the specific circumstances of patients, to achieve the best therapeutic effect with minimal trauma.

Citation： ZHANGYa-fei, LUHong-wei, JIHong, ZHAOEn-fa, LIYi-ming. Current Status of Treatment of Hepatic Echinococcosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(2): 162-165. doi: 10.7507/1007-9424.20150044 Copy

1.	张先军.包虫病危害与预防.畜牧兽医杂志, 2012, 31(1): 114-116.
2.	蒋次鹏, 陈根.包虫病(棘球绦虫病)临床分类的探讨.国际医学寄生虫病杂志, 2010, 37(4): 212-216.
3.	鲍佳春, 袁凤来, 陆伟国.包虫病治疗进展.中国血吸虫病防治杂志, 2010, 22(2): 197-199.
4.	才旦多杰, 郑丛华, 刘巴睿, 等. 779例包虫病住院病例调查研究.中国预防医学杂志, 2007, 8(3): 286-288.
5.	巴桑顿珠, 罗亦刚, 黄磊, 等.肝囊型包虫病内囊摘除术与外囊完整剥除术的对比研究.中华普通外科杂志, 2013, 28(7): 526-528.
6.	杜中, 郭林红.手术治疗肝包虫病31例分析.实用医院临床杂志, 2013, 10(5): 235-236.
7.	Beyrouti MI, Beyrouti R, Bouassida M, et al. Hydatid cysts of the spigelian lobe (segmentⅠ) of the liver: clinical and therapeutic particularities. Presse Med, 2007, 36(12 Pt 1): 1732-1737.
8.	母齐鸣, 廖波, 王刚, 等.手术治疗肝包虫病137例分析.实用医院临床杂志, 2013, 10(4): 135-137.
9.	王琦, 刘清, 武向鹏, 等. 46例肝包虫病患者合并术后胆漏的临床分析.宁夏医科大学学报, 2012, 34(6): 641-642.
10.	阿依甫汗·阿汗, 吐尔干艾力, 邵英梅, 等.肝包虫病的外科治疗现状.肝胆外科杂志, 2009, 17(1): 13-14.
11.	Mueller PR, Dawson SL, Ferrucci JT, et al. Hepatic echinococcal cyst: successful percutaneous drainage. Radiology, 1985, 155(3): 627-628.
12.	胡雷, 陈汉.肝包虫病的诊断及治疗现状.肝胆外科杂志, 2004, 12(5): 390-392.
13.	焦郭堂, 王校智, 高宏, 等.经皮粗管穿刺术治疗包虫病:附1 561例报告.中国普通外科杂志, 2005, 14(2): 128-130.
14.	Nasseri-Moghaddam S, Abrishami A, Taefi A, et al. Percutaneous needle aspiration, injection, and re-aspiration with or without benzimidazole coverage for uncomplicated hepatic hydatid cysts. Cochrane Database Syst Rev, 2011, (1): CD003623.
15.	Köroğlu M, Erol B, Gürses C, et al. Hepatic cystic echinococcosis: percutaneous treatment as an outpatient procedure. Asian Pac J Trop Med, 2014, 7(3): 212-215.
16.	谭石, 王金锐.包虫病的热消融治疗.中华医学超声杂志:电子版, 2006, 3(6): 325.
17.	任伟新, 肖湘生, 陈鹏, 等.肝泡状棘球蚴病的DSA表现及介入治疗.介入放射学杂志, 2004, 13(6): 496-498.
18.	马存凯, 郭应兴, 雷振武, 等.肝泡性包虫并发梗阻性黄疸的介入治疗.青海师范大学学报:自然科学版, 2012, 28(3): 106-107.
19.	谭家忠, 徐明谦, 外力, 等.腹腔镜肝包虫囊肿摘除术10例报告.普外临床, 1994, 9(1): 42-43.
20.	闫晓琨, 雒润庆, 石小平.腹腔镜治疗肝包虫病18例报道.中国普外基础与临床杂志, 2012, 19(3): 318.
21.	Ramia JM, Poves I, Castellon C, et al. Radical laparoscopic treatment for liver hydatidosis. World J Surg, 2013, 37(10): 2387-2392.
22.	姜涛, 彭心宇.肝包虫病治疗的研究进展.农垦医学, 2007, 29(2): 138-141.
23.	戴季蓬, 邵英梅, 温浩, 等.肝包虫病的诊断与治疗进展.中华肝胆外科杂志, 2011, 17(5): 432-433.
24.	林建寿, 严得庆, 高亚军.根治性肝包虫病外科治疗术式的疗效比较.青海医药杂志, 2009, 39(5): 3-5.
25.	彭心宇, 张示杰, 牛建华, 等.肝包虫病外科治疗术式选择的新观点(附684例报道).腹部外科, 2003, 16(1): 19-21.
26.	杨孙虎, 阿不都斯木·艾沙, 阿合提别木·塔布斯, 等.外囊切除术治疗复发性肝囊型包虫病的体会(附15例报道).中国普外基础与临床杂志, 2014, 21(2): 226-228.
27.	Ayifuhan A, Tuerganaili A, Jun C, et al. Surgical treatment for hepatic alveolar echinococcosis: report of 50 cases. Hepatogastroenterology, 2012, 59(115): 790-793.
28.	Pan GD, Yan LN, Li B, et al. Liver transplantation for patients with hepatic alveolar echinococcosis in late stage. Hepatobiliary Pancreat Dis Int. 2004, 3(4), 499-503.
29.	Li F, Yang M, Li B, et al. Initial clinical results of orthotopic liver transplantation for hepatic alveolar echinococcosis. Liver Transpl, 2007, 13(6): 924-926.
30.	周永昌, 郭万学.超声医学.第5版.北京:科学技术文献出版.
31.	社, 2006: 688．.
32.	郑强, 王晓全, 曹岩, 等.国内泡型包虫病文献分布.预防医学情报杂志, 2006, 22(2): 170-172.
33.	温浩, 邵英梅, 赵晋明, 等.两型肝包虫病手术疗效547例临床分析.中华消化外科杂志, 2007, 6(1): 13-18.
34.	Wang H, Liu QY, Wang ZM, et al. Clinical outcomes of ex vivo liver resection and liver autotransplantation for hepatic alveolar echinococcosis. J Huazhong Univ Sci Technol: Medical Sciences, 2012, 32(4): 598-600.
35.	Nunnari G, Pinzone MR, Gruttadauria S, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol, 2012, 18(13): 1448-1458.
36.	Gillet M, Miguet JP, Mantion G, et al. Orthotopic liver transplantation in alveolar echinococcosis of the liver: analysis of a series of six patients. Transplant Proc, 1988, 20(Suppl 1): 573-576.
37.	夏天, 严律南.肝移植治疗肝泡状棘球蚴病.中国普外基础与临床杂志, 2005, 12(2): 132-134.
38.	Kantarci M, Pirimoglu B, Aydinli B, et al. A rare reason for liver transplantation: hepatic alveoloar echinococcosis. Transpl Infect Dis, 2014, 16(3): 450-452.
39.	王轶, 张玉凯, 席慧霞.泡球蚴病的药物治疗进展.中国病原生物学杂志, 2009, 4(2): 145-147.
40.	李海涛, 单骄宇, 邵英梅, 等.阿苯达唑脂质体和阿苯达唑片治疗囊型包虫病的临床疗效及安全性.中华肝脏病杂志, 2011, 19(7): 532-536.
41.	Reuter S, Manfras B, Merkle M, et al. In vitro activities of itraconazole, methiazole, and nitazoxanide versus echinococcus multilocularis larvae. Antimicrob Agents Chemother, 2006, 50(9): 2966-2970.
42.	王科燕, 杜新远, 张永军, 等.中草药治疗棘球蚴病的研究概况.西北药学杂志, 2009, 24(3): 240-242.
43.	Richter D, Richter J, Grüner B, et al. In vitro efficacy of triclabendazole and clorsulon against the larval stage of echinococcus multilocularis. Parasitol Res, 2013, 112(4), 1655-1660.
44.	张睿, 景涛, 傅宣英, 等.苦参碱和阿苯达唑治疗小鼠继发性泡球蚴病的疗效观察.中国人兽共患病学报, 2006, 22(4): 342-346.
45.	王轶, 王琪, 陈根, 等.川芎嗪和阿苯达唑联合治疗小鼠继发性泡球蚴病的疗效观察.中国病原生物学杂志, 2008, 3(6): 443-446.
46.	龚惠玲, 李文梅, 尹丽梅.六君子汤联合阿苯达唑治疗包虫病疗效观察.卫生职业教育, 2014, 32(5): 139-140.
47.	李明子.临床路径的基本概念及其应用.中华护理杂志, 2010, 45(1): 59-61.
48.	李杰珍, 李作安, 李凤娇.肝囊型包虫病开腹手术治疗临床路径应用效果分析.?新疆医学, 2013, 43(7): 18-21.

1. 张先军.包虫病危害与预防.畜牧兽医杂志, 2012, 31(1): 114-116.
2. 蒋次鹏, 陈根.包虫病(棘球绦虫病)临床分类的探讨.国际医学寄生虫病杂志, 2010, 37(4): 212-216.
3. 鲍佳春, 袁凤来, 陆伟国.包虫病治疗进展.中国血吸虫病防治杂志, 2010, 22(2): 197-199.
4. 才旦多杰, 郑丛华, 刘巴睿, 等. 779例包虫病住院病例调查研究.中国预防医学杂志, 2007, 8(3): 286-288.
5. 巴桑顿珠, 罗亦刚, 黄磊, 等.肝囊型包虫病内囊摘除术与外囊完整剥除术的对比研究.中华普通外科杂志, 2013, 28(7): 526-528.
6. 杜中, 郭林红.手术治疗肝包虫病31例分析.实用医院临床杂志, 2013, 10(5): 235-236.
7. Beyrouti MI, Beyrouti R, Bouassida M, et al. Hydatid cysts of the spigelian lobe (segmentⅠ) of the liver: clinical and therapeutic particularities. Presse Med, 2007, 36(12 Pt 1): 1732-1737.
8. 母齐鸣, 廖波, 王刚, 等.手术治疗肝包虫病137例分析.实用医院临床杂志, 2013, 10(4): 135-137.
9. 王琦, 刘清, 武向鹏, 等. 46例肝包虫病患者合并术后胆漏的临床分析.宁夏医科大学学报, 2012, 34(6): 641-642.
10. 阿依甫汗·阿汗, 吐尔干艾力, 邵英梅, 等.肝包虫病的外科治疗现状.肝胆外科杂志, 2009, 17(1): 13-14.
11. Mueller PR, Dawson SL, Ferrucci JT, et al. Hepatic echinococcal cyst: successful percutaneous drainage. Radiology, 1985, 155(3): 627-628.
12. 胡雷, 陈汉.肝包虫病的诊断及治疗现状.肝胆外科杂志, 2004, 12(5): 390-392.
13. 焦郭堂, 王校智, 高宏, 等.经皮粗管穿刺术治疗包虫病:附1 561例报告.中国普通外科杂志, 2005, 14(2): 128-130.
14. Nasseri-Moghaddam S, Abrishami A, Taefi A, et al. Percutaneous needle aspiration, injection, and re-aspiration with or without benzimidazole coverage for uncomplicated hepatic hydatid cysts. Cochrane Database Syst Rev, 2011, (1): CD003623.
15. Köroğlu M, Erol B, Gürses C, et al. Hepatic cystic echinococcosis: percutaneous treatment as an outpatient procedure. Asian Pac J Trop Med, 2014, 7(3): 212-215.
16. 谭石, 王金锐.包虫病的热消融治疗.中华医学超声杂志:电子版, 2006, 3(6): 325.
17. 任伟新, 肖湘生, 陈鹏, 等.肝泡状棘球蚴病的DSA表现及介入治疗.介入放射学杂志, 2004, 13(6): 496-498.
18. 马存凯, 郭应兴, 雷振武, 等.肝泡性包虫并发梗阻性黄疸的介入治疗.青海师范大学学报:自然科学版, 2012, 28(3): 106-107.
19. 谭家忠, 徐明谦, 外力, 等.腹腔镜肝包虫囊肿摘除术10例报告.普外临床, 1994, 9(1): 42-43.
20. 闫晓琨, 雒润庆, 石小平.腹腔镜治疗肝包虫病18例报道.中国普外基础与临床杂志, 2012, 19(3): 318.
21. Ramia JM, Poves I, Castellon C, et al. Radical laparoscopic treatment for liver hydatidosis. World J Surg, 2013, 37(10): 2387-2392.
22. 姜涛, 彭心宇.肝包虫病治疗的研究进展.农垦医学, 2007, 29(2): 138-141.
23. 戴季蓬, 邵英梅, 温浩, 等.肝包虫病的诊断与治疗进展.中华肝胆外科杂志, 2011, 17(5): 432-433.
24. 林建寿, 严得庆, 高亚军.根治性肝包虫病外科治疗术式的疗效比较.青海医药杂志, 2009, 39(5): 3-5.
25. 彭心宇, 张示杰, 牛建华, 等.肝包虫病外科治疗术式选择的新观点(附684例报道).腹部外科, 2003, 16(1): 19-21.
26. 杨孙虎, 阿不都斯木·艾沙, 阿合提别木·塔布斯, 等.外囊切除术治疗复发性肝囊型包虫病的体会(附15例报道).中国普外基础与临床杂志, 2014, 21(2): 226-228.
27. Ayifuhan A, Tuerganaili A, Jun C, et al. Surgical treatment for hepatic alveolar echinococcosis: report of 50 cases. Hepatogastroenterology, 2012, 59(115): 790-793.
28. Pan GD, Yan LN, Li B, et al. Liver transplantation for patients with hepatic alveolar echinococcosis in late stage. Hepatobiliary Pancreat Dis Int. 2004, 3(4), 499-503.
29. Li F, Yang M, Li B, et al. Initial clinical results of orthotopic liver transplantation for hepatic alveolar echinococcosis. Liver Transpl, 2007, 13(6): 924-926.
30. 周永昌, 郭万学.超声医学.第5版.北京:科学技术文献出版.
31. 社, 2006: 688．.
32. 郑强, 王晓全, 曹岩, 等.国内泡型包虫病文献分布.预防医学情报杂志, 2006, 22(2): 170-172.
33. 温浩, 邵英梅, 赵晋明, 等.两型肝包虫病手术疗效547例临床分析.中华消化外科杂志, 2007, 6(1): 13-18.
34. Wang H, Liu QY, Wang ZM, et al. Clinical outcomes of ex vivo liver resection and liver autotransplantation for hepatic alveolar echinococcosis. J Huazhong Univ Sci Technol: Medical Sciences, 2012, 32(4): 598-600.
35. Nunnari G, Pinzone MR, Gruttadauria S, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol, 2012, 18(13): 1448-1458.
36. Gillet M, Miguet JP, Mantion G, et al. Orthotopic liver transplantation in alveolar echinococcosis of the liver: analysis of a series of six patients. Transplant Proc, 1988, 20(Suppl 1): 573-576.
37. 夏天, 严律南.肝移植治疗肝泡状棘球蚴病.中国普外基础与临床杂志, 2005, 12(2): 132-134.
38. Kantarci M, Pirimoglu B, Aydinli B, et al. A rare reason for liver transplantation: hepatic alveoloar echinococcosis. Transpl Infect Dis, 2014, 16(3): 450-452.
39. 王轶, 张玉凯, 席慧霞.泡球蚴病的药物治疗进展.中国病原生物学杂志, 2009, 4(2): 145-147.
40. 李海涛, 单骄宇, 邵英梅, 等.阿苯达唑脂质体和阿苯达唑片治疗囊型包虫病的临床疗效及安全性.中华肝脏病杂志, 2011, 19(7): 532-536.
41. Reuter S, Manfras B, Merkle M, et al. In vitro activities of itraconazole, methiazole, and nitazoxanide versus echinococcus multilocularis larvae. Antimicrob Agents Chemother, 2006, 50(9): 2966-2970.
42. 王科燕, 杜新远, 张永军, 等.中草药治疗棘球蚴病的研究概况.西北药学杂志, 2009, 24(3): 240-242.
43. Richter D, Richter J, Grüner B, et al. In vitro efficacy of triclabendazole and clorsulon against the larval stage of echinococcus multilocularis. Parasitol Res, 2013, 112(4), 1655-1660.
44. 张睿, 景涛, 傅宣英, 等.苦参碱和阿苯达唑治疗小鼠继发性泡球蚴病的疗效观察.中国人兽共患病学报, 2006, 22(4): 342-346.
45. 王轶, 王琪, 陈根, 等.川芎嗪和阿苯达唑联合治疗小鼠继发性泡球蚴病的疗效观察.中国病原生物学杂志, 2008, 3(6): 443-446.
46. 龚惠玲, 李文梅, 尹丽梅.六君子汤联合阿苯达唑治疗包虫病疗效观察.卫生职业教育, 2014, 32(5): 139-140.
47. 李明子.临床路径的基本概念及其应用.中华护理杂志, 2010, 45(1): 59-61.
48. 李杰珍, 李作安, 李凤娇.肝囊型包虫病开腹手术治疗临床路径应用效果分析.?新疆医学, 2013, 43(7): 18-21.

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Current Status of Treatment of Hepatic Echinococcosis

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