CAJ | 학술논문

目的了解肝泡球蚴病的超声特征和流行病学特点,提出肝泡球蚴病的超声分型.方法对19972003年四川西部311例泡球蚴病的B超影象学和流行病学资料进行分析.结果 311例泡球蚴病中,24.1%病灶＞10 cm,32.8%伴病灶中央液化坏死,21.9%肝内发现多个病灶.根据B超影象学特征将肝泡球蚴病分为3型和8个亚型,不同的型及亚型提示疾病所处的不同时期及治疗依据.流行病学分析显示牧民是该病的高危人群,占80.1%,且女性多于男性.高发年龄段是＞3040岁.该病的感染与是否养狗、接触狗的频率、引用的水源以及相关的不卫生习惯有关.结论分型标准的提出为评估各流行区泡球蚴病的流行程度和控制措施提供了依据.
목적료해간포구유병적초성특정화류행병학특점,제출간포구유병적초성분형.방법대19972003년사천서부311례포구유병적B초영상학화류행병학자료진행분석.결과 311례포구유병중,24.1%병조＞10 cm,32.8%반병조중앙액화배사,21.9%간내발현다개병조.근거B초영상학특정장간포구유병분위3형화8개아형,불동적형급아형제시질병소처적불동시기급치료의거.류행병학분석현시목민시해병적고위인군,점80.1%,차녀성다우남성.고발년령단시＞3040세.해병적감염여시부양구、접촉구적빈솔、인용적수원이급상관적불위생습관유관.결론분형표준적제출위평고각류행구포구유병적류행정도화공제조시제공료의거.
Objective To analyse the characteristics of human alveolar echinococcosis(AE) cases in ultrasound images and epidemiology and to establish a criterion for classification of hepatic ultrasound images of AE. Method Data on 311 AE cases detected out from mass abdominal ultrasound screening in western Sichuan during 1997-2003 were analysed.Result Among 311 AE cases,24.1%(75/311)had lessions larger than 10.0 cm,32.8%(102/311)had lessions characterized by space-occupying mass with central necrotic fluid,and 21.9%(68/311)had multiple masses in the liver.AE ultrasound images were classified into 3 types and 8 sub-types. Different types suggest the AE cases in different stages while different sub-types will offer further information applicable to selection of appropriate treatment. Epidemiological analysis showed that herdsmen constituted the majority of infected persons (80.1%) and the proportion of infected females was higher than that of males. The highest proportion (20.9%) was detected in persons with age group of＞3040 years. Infection was associated with the practice of raising and handling dogs, drinking water from unsafe sources and related unhealthy habits. Conclusion Criterion for classification of hepatic ultrasound images would provide scientific basis for evaluating the endemic situation and control measure of AE.