肝泡状棘球蚴病引起的门静脉高压症(附12例临床病例报告)

Portal Hypertension Caused by Liver Alveolar Hydatidosis Report of 12 Cases

作者报道自1981年至1990年收治的肝泡状棘球蚴病引起的门静脉高压症12例,并对其临床表现、病理特点、预防和治疗进行了讨论。作者认为早期诊断、及时治疗原发病是预防这一并发症的首要措施;手术切除主要病变加有效的化疗对提高泡状棘球蚴病的治愈率,预防和治疗并发症是有效可行的治疗方法。

12 cases with portal hypertension caused by liver alveolar hydatidosis (LAH) were reported. The ximary disease of all the patients was confirmed by histological examination. They were all with hepatomegaly and spenomegaly, 8 cases with jaudice, 7 cases with ascites, of whom, 5 cases with sophageal varicosity. Pathological study found that this complication caused by LAH was mainly due o involvement of the portal and hepatic veins. Meanwhile, the primary disease might involve biliary ract and cause biliary cirrhosis. 5 cases were given operations. All of the patients were given chemotherapy, including mebendazole (6 cases), praziquantel (11 cases) and albendazole (1 case) respectively. 8 cases died for being treated too late, 4 cases became better. The prognosis of the portal hypertension caused by LAH depended on the treatment of primary disease. Combining chemotherapy With surgical operation, it's possible to stand a good chance of success in this disease.