肝泡状棘球蚴病的诊断和治疗

Diagnosis and treatment of hepatic alveolar echinococcosis

泡状棘球蚴可寄生于人体多个脏器,以肝脏最为多见。对肝泡状棘球蚴病的诊断和治疗作一简要阐述,肝泡状棘球蚴病的诊断包括疫区流行范围、血清学、超声、影像学、病理学诊断,治疗包括根治性肝切除术、姑息性肝切除术、肝移植、高强度聚焦超声、射频消融、超声或CT引导下经皮经肝胆管引流术和药物治疗。对于流行地区高危人群可定期筛查,早期诊断,防治结合,以改善预后,延长生存期。

Alveolar echinococcus can be found in various organs of the body, with the liver as the most common organ. This article briefly elaborates on the diagnosis and treatment of hepatic alveolar echinococcosis. The diagnosis of this disease includes epidemic areas, serology, ultrasound, imaging examination, and pathological diagnosis, and its treatment includes radical hepatectomy, palliative hepatectomy, liver transplantation, high- intensity focused ultrasound, radiofrequency ablation, ultrasound - or CT -guided percutaneous biliary drainage, and pharmacotherapy. Regular screening, early diagnosis, and a combination of prevention and treatment should be performed for the high - risk population in epidemic areas to improve prognosis and prolong survival time.