超声随访检查对肝泡型包虫病药物治疗效果的评价

Evaluation of the therapeutic effect of hepatic alveolar echinococcosis treated by drugs using follow-up ultrasonic examination

目的分析57例肝泡球蚴病患者阿苯达唑治疗1年后的超声检查结果,评价阿苯达唑治疗效果。方法对血清学检查(ELISA)阳性和经B型超声检查确诊的57例肝泡球蚴病患者给予阿苯达唑治疗1年后同法复查,根据疗后B超声像变化评价治疗效果。结果57例患者使用阿苯达唑治疗1年后B超检查9例钙化痊愈,35例部分钙化好转,8例退化稳定,5例扩大恶化。结论阿苯达唑治疗泡球蚴病有效,B型超声检查可用于阿苯达唑等药物治疗后的效果评价。

Objective To analyze the results of ultrasound examination and to evaluate the therapeutic effect of 57 cases of hepatic alveolar echinococcosis after treated by albendazole one year. Methods All positive cases were tested by ELISA （Enzyme Linked Immunosorbent Assay） and ultrasound. We have compared the results of pre-treatment with post-treatment and evaluated the therapeutic effect of the albendazole according to ultrasonographic changes. Results After treated by albendazole one year, 9 cases are cured, 35 cases are improved, 8 cases are stable and 5 cases are worsened. Conclusion Alveolar hydatid disease is treated effectively by albendazole. Ultrasound examination is a valuable method to efficacy the therapeutic effect of albendazole.