Epidemiological investigation of hepatic echinococcosis in Ganzi county of Sichuan Western-Tibet District_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XIE Liang ¹ , WANG Shu ² , ZHOU Linyong ³ , LI Jianshui ¹ , Dawa Enzhu ³ , LI Jinhua ⁴ ,  XU Mingqing ⁵

1. Department of Hepatobiliary Surgery Ⅱ, The Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, R. P. China;
2. Department of Urology Surgery, the Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, R. P. China;
3. Department of Surgery, The People's Hospital of Ganzi County, Ganzi, Sichuan 626700, R. P. China;
4. Department of Medical Imaging, The People's Hospital of Ganzi County, Ganzi, Sichuan 626700, R. P. China;
5. Department of Hepatic Surgery, West China Hospital, Sichuan University, Chengdu 610041, R. P. China;

Corresponding author：

XU Mingqing, Email: xumingqing@scu.edu.cn

Keywords：

Ganzi county; hepatic echinococcosis; epidemiology; prevalence rate

DOI：

10.7507/1007-9424.201909032

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Objective To investigate and analysis the data of patients with hepatic echinococcosis in Ganzi County in 2018, and to understand the epidemiological characteristics of hepatic echinococcosis in Ganzi County, Sichuan Province.Methods A total of 811 patients were enrolled. The basic information of sex, age, weight, occupation, nation, educational level, family address and so on were recorded. The location, number, classification, transverse diameter and longitudinal diameter of hepatic echinococcosis masses were recorded by abdominal color Doppler ultrasonography.Results In 2018, 811 new cases of hepatic echinococcosis were reported in Ganzi County, with a prevalence rate of 4.6% (811/17 650), and 17.81% (572/3 212) in the Datongma area. Patients ranged in age from 6 to 92, the average age was (44.8±16.6) years old. The majority of patients were Tibetans (98.5%), herdsmen (71.8%) and illiterates (83.5%). The most common lesions were in right liver (84.2%) and single (91.4%).Conclusions There is serious transmission of hepatic echinococcosis in Ganzi County, especially in pure pastoral areas, and HAE is more prevalent than HCE. Most of the infected people are Tibetan herdsmen with illiterate educational background and more females than males. The peak incidence of hepatic echinococcosis is 30-55 years old. Close monitoring should be carried out for these people.

Citation： XIE Liang, WANG Shu, ZHOU Linyong, LI Jianshui, Dawa Enzhu, LI Jinhua, XU Mingqing. Epidemiological investigation of hepatic echinococcosis in Ganzi county of Sichuan Western-Tibet District. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(1): 38-42. doi: 10.7507/1007-9424.201909032 Copy

1.	Baumann S, Shi R, Liu W, et al. Worldwide literature on epidemiology of human alveolar echinococcosis: a systematic review of research published in the twenty-first century. Infection, 2019, 47(5): 703-727.
2.	张耀刚, 马艳艳, 曹得萍, 等. 棘球属绦虫线粒体基因组全序列生物信息学分析. 中国人兽共患病学报, 2019, 35(3): 271-277.
3.	四川省包虫病诊疗专家组. 四川省肝包虫病诊治规范. 中国普外基础与临床杂志, 2017, 24(7): 798-803.
4.	方丹, 陈哲宇, 曾勇, 等. 泡型肝包虫病的外科治疗. 中国普外基础与临床杂志, 2016, 23(5): 521-525.
5.	Romig T, Deplazes P, Jenkins D, et al. Ecology and life cycle patterns of echinococcus species. Adv Parasitol, 2017, 95: 213-314.
6.	Basset D, Girou C, Nozais IP, et al. Neotropical echinococcosis in Suriname: Echinococcus oligarthrus in the orbit and Echinococcus vogeli in the abdomen. Am J Trop Med Hyg, 1998, 59(5): 787-790.
7.	Torgerson PR, Keller K, Magnotta M, et al. The global burden of alveolar echinococcosis. PLoS Negl Trop Dis, 2010, 4(6): e722.
8.	Deplazes P, Rinaldi L, Alvarez Rojas CA, et al. Global distribution of alveolar and cystic echinococcosis. Adv Parasitol, 2017, 95: 315-493.
9.	Possenti A, Manzano-Román R, Sánchez-Ovejero C, et al. Potential risk factors associated with human cystic echinococcosis: systematic review and meta-analysis. PLoS Negl Trop Dis, 2016, 10(11): e0005114.
10.	Tamarozzi F, Akhan O, Cretu CM, et al. Epidemiological factors associated with human cystic echinococcosis: a semi-structured questionnaire from a large population-based ultrasound cross-sectional study in eastern Europe and Turkey. Parasit Vectors, 2019, 12(1): 371.
11.	Qian MB, Abela-Ridder B, Wu WP, et al. Combating echinococcosis in China: strengthening the research and development. Infect Dis Poverty, 2017, 6(1): 161.
12.	甘孜县人民政府. 人口民族. 2019 年 3 月 1 日, http://www.ganzi.gov.cn/13291/13292/13304/2016/06/23/10533859.shtml.
13.	WHO Informal Working Group. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop, 2003, 85(2): 253-261.
14.	刘志红. 彩色多普勒超声检查对肝包虫病分型的诊断价值及临床意义. 华西医学, 2011, 26(6): 932-933.
15.	喻文杰, 王谦, 廖沙, 等. 2017 年四川省石渠县包虫病患病情况现状调查. 预防医学情报杂志, 2018, 34(5): 545-549.
16.	任利, 张灵强, 周凤声, 等. 青海省果洛藏族自治州班玛县肝棘球蚴病流行病学调查. 中华疾病控制杂志, 2016, 20(10): 1032-1035.
17.	何金戈, 邱加闽, 刘凤洁, 等. 四川西部藏区包虫病流行病学研究Ⅱ. 牲畜及野生动物两型包虫病感染状况调查. 中国人兽共患病杂志, 2000, 16(5): 62-65.
18.	Wang Q, Qiu J, Yang W, et al. Socioeconomic and behavior risk factors of human alveolar echinococcosis in Tibetan communities in Sichuan, People's Republic of China. Am J Trop Med Hyg, 2006, 74(5): 856-862.
19.	Yang YR, Sun T, Li Z, et al. Community surveys and risk factor analysis of human alveolar and cystic echinococcosis in Ningxia Hui Autonomous Region, China. Bull World Health Organ, 2006, 84(9): 714-721.
20.	刘晓东, 尚文杰, 赵春桃, 等. 甘肃省甘南藏族自治州包虫病流行病学调查结果分析. 中华地方病学杂志, 2014, 33(6): 619-622.
21.	曾祥嫚, 官亚宜, 伍卫平. 棘球蚴病的流行病学分布特征. 中国人兽共患病学报, 2014, 30(4): 413-417.
22.	肖蓉, 田虹, 余玲, 等. 超声及 CT 对囊性肝包虫病的分型在诊治中的价值探讨. 临床超声医学杂志, 2018, 20(8): 561-563.

1. Baumann S, Shi R, Liu W, et al. Worldwide literature on epidemiology of human alveolar echinococcosis: a systematic review of research published in the twenty-first century. Infection, 2019, 47(5): 703-727.
2. 张耀刚, 马艳艳, 曹得萍, 等. 棘球属绦虫线粒体基因组全序列生物信息学分析. 中国人兽共患病学报, 2019, 35(3): 271-277.
3. 四川省包虫病诊疗专家组. 四川省肝包虫病诊治规范. 中国普外基础与临床杂志, 2017, 24(7): 798-803.
4. 方丹, 陈哲宇, 曾勇, 等. 泡型肝包虫病的外科治疗. 中国普外基础与临床杂志, 2016, 23(5): 521-525.
5. Romig T, Deplazes P, Jenkins D, et al. Ecology and life cycle patterns of echinococcus species. Adv Parasitol, 2017, 95: 213-314.
6. Basset D, Girou C, Nozais IP, et al. Neotropical echinococcosis in Suriname: Echinococcus oligarthrus in the orbit and Echinococcus vogeli in the abdomen. Am J Trop Med Hyg, 1998, 59(5): 787-790.
7. Torgerson PR, Keller K, Magnotta M, et al. The global burden of alveolar echinococcosis. PLoS Negl Trop Dis, 2010, 4(6): e722.
8. Deplazes P, Rinaldi L, Alvarez Rojas CA, et al. Global distribution of alveolar and cystic echinococcosis. Adv Parasitol, 2017, 95: 315-493.
9. Possenti A, Manzano-Román R, Sánchez-Ovejero C, et al. Potential risk factors associated with human cystic echinococcosis: systematic review and meta-analysis. PLoS Negl Trop Dis, 2016, 10(11): e0005114.
10. Tamarozzi F, Akhan O, Cretu CM, et al. Epidemiological factors associated with human cystic echinococcosis: a semi-structured questionnaire from a large population-based ultrasound cross-sectional study in eastern Europe and Turkey. Parasit Vectors, 2019, 12(1): 371.
11. Qian MB, Abela-Ridder B, Wu WP, et al. Combating echinococcosis in China: strengthening the research and development. Infect Dis Poverty, 2017, 6(1): 161.
12. 甘孜县人民政府. 人口民族. 2019 年 3 月 1 日, http://www.ganzi.gov.cn/13291/13292/13304/2016/06/23/10533859.shtml.
13. WHO Informal Working Group. International classification of ultrasound images in cystic echinococcosis for application in clinical and field epidemiological settings. Acta Trop, 2003, 85(2): 253-261.
14. 刘志红. 彩色多普勒超声检查对肝包虫病分型的诊断价值及临床意义. 华西医学, 2011, 26(6): 932-933.
15. 喻文杰, 王谦, 廖沙, 等. 2017 年四川省石渠县包虫病患病情况现状调查. 预防医学情报杂志, 2018, 34(5): 545-549.
16. 任利, 张灵强, 周凤声, 等. 青海省果洛藏族自治州班玛县肝棘球蚴病流行病学调查. 中华疾病控制杂志, 2016, 20(10): 1032-1035.
17. 何金戈, 邱加闽, 刘凤洁, 等. 四川西部藏区包虫病流行病学研究Ⅱ. 牲畜及野生动物两型包虫病感染状况调查. 中国人兽共患病杂志, 2000, 16(5): 62-65.
18. Wang Q, Qiu J, Yang W, et al. Socioeconomic and behavior risk factors of human alveolar echinococcosis in Tibetan communities in Sichuan, People's Republic of China. Am J Trop Med Hyg, 2006, 74(5): 856-862.
19. Yang YR, Sun T, Li Z, et al. Community surveys and risk factor analysis of human alveolar and cystic echinococcosis in Ningxia Hui Autonomous Region, China. Bull World Health Organ, 2006, 84(9): 714-721.
20. 刘晓东, 尚文杰, 赵春桃, 等. 甘肃省甘南藏族自治州包虫病流行病学调查结果分析. 中华地方病学杂志, 2014, 33(6): 619-622.
21. 曾祥嫚, 官亚宜, 伍卫平. 棘球蚴病的流行病学分布特征. 中国人兽共患病学报, 2014, 30(4): 413-417.
22. 肖蓉, 田虹, 余玲, 等. 超声及 CT 对囊性肝包虫病的分型在诊治中的价值探讨. 临床超声医学杂志, 2018, 20(8): 561-563.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Epidemiological investigation of hepatic echinococcosis in Ganzi county of Sichuan Western-Tibet District

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