Objective To investigate the diagnosis and treatment of the liver hydatidosis in nonpastureland.
Methods Clinical features of 16 patients with liver hydatidosis were analyzed retrospectively.
Results Only 8 of 16 patients possessed the clinical symptoms and 8 patients had had history of inhabitancy in epidemic area. Casoni test and indirect hemagglutination showed a sensitivity of 90% and the correct diagnostic rate of CT was higher than that of B-ultrasound examination. The main effective treatment of the liver hydatidosis was surgical, 15 out of 16 patients received surgical treatment. In this series, the curative effect was good without any death, allergic reaction and implantation.
Conclusion The cystic lesion of liver should be considered as liver hydatidosis and Casoni test, indirect hemagglutination, together with CT and B-us examination can be used to comfirm the diagnosis though no clinical symptoms and history of inhabitancy in epidemic area presented. Surgical operation is the main effective treatment for liver hydatidosis.
Citation：
LIAO Quan,HE Xiaodong,ZHAO Ypei.. DIAGNOSIS AND TREATMENT OF LIVER HYDATIDOSIS IN NONPASTURELAND. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(4): 249-251. doi:
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Ahmet AB, Mahmut B, Fehmi C, et al. Surgical treatment of hydatid disease of the liver (review of 304 cases) 〔Ｊ〕. Arch Surg, 1999; 134(2)∶166.
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Suleyman M, Baki K, Cuneyt Y, et al. Percutaneous treatment of hepatic hydatid cysts: an alternative to surgery 〔Ｊ〕. AJR Am J Roentgenol, 1999; 172(1)∶83.
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Kern P, Frosch P, Helbig M, et al. Diagnosis of echinococcus multilocularis infection by reversetranscription polymerase chain reaction 〔Ｊ〕. Gastroenterology, 1995; 109(8)∶596.
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Rigano R, Profumo E, Ioppolo S, et al. Immunological markers indicating the effectiveness of pharmacological treatment in human hydatid disease 〔Ｊ〕. Clin Exp Immunol, 1995; 102(7)∶281.
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Mohammad SK, Nazir AW, Gul J, et al. Percutaneous drainage compared with surgery for hepatic hydatid cysts 〔Ｊ〕. N Engl J Med, 1997; 337(13)∶881.
|
- 1. Ahmet AB, Mahmut B, Fehmi C, et al. Surgical treatment of hydatid disease of the liver (review of 304 cases) 〔Ｊ〕. Arch Surg, 1999; 134(2)∶166.
- 2. Bahri U, Okan A, Mehmet AK, et al. Percutaneous treatment of hydatid cysts of the liver: longterm results 〔Ｊ〕. AJR Am J Roentgenol, 1999; 172(1)∶91.
- 3. Suleyman M, Baki K, Cuneyt Y, et al. Percutaneous treatment of hepatic hydatid cysts: an alternative to surgery 〔Ｊ〕. AJR Am J Roentgenol, 1999; 172(1)∶83.
- 4. Force L, Torres J, Carrillo A, et al. Valuation of eight serological tests in the diagnosis of human echinococcosis and followup 〔Ｊ〕. Clin Infectious Dis, 1992; 15(9)∶473.
- 5. Kern P, Frosch P, Helbig M, et al. Diagnosis of echinococcus multilocularis infection by reversetranscription polymerase chain reaction 〔Ｊ〕. Gastroenterology, 1995; 109(8)∶596.
- 6. Rigano R, Profumo E, Ioppolo S, et al. Immunological markers indicating the effectiveness of pharmacological treatment in human hydatid disease 〔Ｊ〕. Clin Exp Immunol, 1995; 102(7)∶281.
- 7. Mohammad SK, Nazir AW, Gul J, et al. Percutaneous drainage compared with surgery for hepatic hydatid cysts 〔Ｊ〕. N Engl J Med, 1997; 337(13)∶881.
