国际医学寄生虫病杂志
國際醫學寄生蟲病雜誌
국제의학기생충병잡지
INTERNATIONAL JOURNAL OF MEDICAL PARASITIC DISEASES
2010年
4期
212-216
,共5页
方法%临床分类%包虫病%肝脏
方法%臨床分類%包蟲病%肝髒
방법%림상분류%포충병%간장
Approach%Clinical taxonomy%Echinococcosis%Liver
目的 研究包虫病的临床分类,旨在提出一个新的分类设想.方法 20年前,作者挑选20例包虫病病例,初步提出临床分类[1].近年作了进一步的研究,按寄生虫学、感染途径、症状、病理学和超声扫描等方法对多年收集的315例肝包虫病病例进行了分类.结果 按寄生虫学分类,有215例囊型包虫病和100例泡型包虫病病例.按感染途径分类,有186例原发型和29例继发型囊型肝包虫病病例,94例原发型和6例继发转移型泡型包虫病病例.按临床症状分类,有170例单纯型和45例复杂型囊型肝包虫病病例.泡型包虫病病例按病理大体肉眼观分为7例结节型、25例巨块型和12例混合型;泡型包虫病病例按光学显微镜下观察分为10例增殖型、2例衰退型和12例混合型.囊型肝包虫病患者按超声图像分型,有16例单纯性囊肿型、18例包虫特征型、82例囊内异常回声、18例钙化型和2例复合型;泡型肝包虫病患者包括65例异常强回声型、9例坏死液化型和8例钙化型.结论 包虫病临床分类不仅对选用手术或化疗,而且对评估患者疗效和预后均有意义,故实有必要将包虫病临床分类作为包虫病诊断的一部分.
目的 研究包蟲病的臨床分類,旨在提齣一箇新的分類設想.方法 20年前,作者挑選20例包蟲病病例,初步提齣臨床分類[1].近年作瞭進一步的研究,按寄生蟲學、感染途徑、癥狀、病理學和超聲掃描等方法對多年收集的315例肝包蟲病病例進行瞭分類.結果 按寄生蟲學分類,有215例囊型包蟲病和100例泡型包蟲病病例.按感染途徑分類,有186例原髮型和29例繼髮型囊型肝包蟲病病例,94例原髮型和6例繼髮轉移型泡型包蟲病病例.按臨床癥狀分類,有170例單純型和45例複雜型囊型肝包蟲病病例.泡型包蟲病病例按病理大體肉眼觀分為7例結節型、25例巨塊型和12例混閤型;泡型包蟲病病例按光學顯微鏡下觀察分為10例增殖型、2例衰退型和12例混閤型.囊型肝包蟲病患者按超聲圖像分型,有16例單純性囊腫型、18例包蟲特徵型、82例囊內異常迴聲、18例鈣化型和2例複閤型;泡型肝包蟲病患者包括65例異常彊迴聲型、9例壞死液化型和8例鈣化型.結論 包蟲病臨床分類不僅對選用手術或化療,而且對評估患者療效和預後均有意義,故實有必要將包蟲病臨床分類作為包蟲病診斷的一部分.
목적 연구포충병적림상분류,지재제출일개신적분류설상.방법 20년전,작자도선20례포충병병례,초보제출림상분류[1].근년작료진일보적연구,안기생충학、감염도경、증상、병이학화초성소묘등방법대다년수집적315례간포충병병례진행료분류.결과 안기생충학분류,유215례낭형포충병화100례포형포충병병례.안감염도경분류,유186례원발형화29례계발형낭형간포충병병례,94례원발형화6례계발전이형포형포충병병례.안림상증상분류,유170례단순형화45례복잡형낭형간포충병병례.포형포충병병례안병리대체육안관분위7례결절형、25례거괴형화12례혼합형;포형포충병병례안광학현미경하관찰분위10례증식형、2례쇠퇴형화12례혼합형.낭형간포충병환자안초성도상분형,유16례단순성낭종형、18례포충특정형、82례낭내이상회성、18례개화형화2례복합형;포형간포충병환자포괄65례이상강회성형、9례배사액화형화8례개화형.결론 포충병림상분류불부대선용수술혹화료,이차대평고환자료효화예후균유의의,고실유필요장포충병림상분류작위포충병진단적일부분.
Objective To study clinical taxonomy of live echinococcosis for the purpose of suggesting a novel taxonomic design. Methods Twenty years ago, the author preliminarily offered a clinical taxonomy on the basis of 20 selected cases[1]. In recent years, a further research has been completed. According to the methods of parasitology, infective route, symptoms, pathology, ultrasound etc. ,315 echinococcosis cases that we collected in many years were classified. Results According to parasitological taxonomy, all patients were classified into 215 cystic echinococcosis (CE) and 100 alveolar echinococcosis (AE) cases. According to pathology taxonomy, there were 186 primary and 29 secondary CE cases, 94 primary liver AE cases and 6 secondary AE metastasis cases. According to clinical manifestations, there were 170 simple type and 45 complex type CE cases. According to pathological observation under naked eyes, AE cases were divided into 7 nodular type,25 giant block type and 12 mixed type. By ultrasonic taxonomy, CE cases included 16 simple cyst type, 18 hydatid characteristics type, 82 intracapsular abnormal echo type, 18 calcified type and 2 compound type. In AE cases, 65 abnormal strong echo type, 9 central necrotic type and 8 calcified necrosis type were involved.Conclusion Clinical taxonomy of echinococcosis would be significant, not only for choosing surgery or chemotherapy, but also for evaluating the prognosis. Therefore it ought to be a key part of echinococcosis diagnosis.
