包虫病3例临床病理分析

Clinical and Pathological Analysis of 3 Cases Hydatid Disease

目的 探讨包虫病的临床病理学特点、诊断与鉴别诊断。方法 分析3例包虫病的临床病理特征,并回顾性分析有关包虫病的文献。结果 包虫病可累及多个脏器,以肝脏最多见,3例患者均有疫区生活史,大体均表现为大小不一的囊肿,包虫囊由角质层和生发层组成,角质层为红染的相互平行的板层结构,生发层由一排细胞组成,其中一例可见头节。结论 包虫病的诊断需结合病理形态学特点、影像学及羊、狗等动物密切接触史等综合判断。

Objective To explore clinical pathological characteristics,diagnosis,and differential diagnosis of hydatid disease.Methods The paper analyzed clinical and pathological characteristics of 3 cases hydatid disease,reviewed literature related to hydatid disease retrospectively.Results As a result,hydatid disease can affect multiple organs,which was most common for liver.All three patients had disease history in affected area,and were generally characterized by cysts of varying sizes.Hydatid cyst consists of stratum corneum and germinal layer,which were red stained parallel lamellar structures.The germinal layer was composed of a row of cells,with one case showing scolex.Conclusion Diagnosis of hydatid disease requires comprehensive assessment based on pathological and morphological characteristics,imaging studies,and close contact history with animals including sheep and dogs.