CAJ | 학술논문

目的：评估乙型肝炎病毒（Hepatitis B Virus，HBV）感染与肝包囊虫（cystic hydatid disease,cHd）之间的关系，然后给出控制西藏众多 HBV 感染的思路。方法对从2010年12月至2012年12月，来自于西藏军区总医院肝胆外科的共94例肝包囊虫病患者进行一个回顾性的研究，所有的患者来自于农村区域，进行了腹部 B 超检查，提示肝包虫，所有的患者关于肝包虫血清学试验均为阳性。对照组包含500名患者（300名男性，200名女性），均为于我院体检中心进行体检的患者。结果患者的 HBV 表面抗原阳性率明显高于对照组（12.7% Vs 5,2%；P=0.0017）。我们的数据表明， HBV 感染与 cHd 之间有明显的相关性。结论所有的 cHd 患者均应行 HBV 检察。
목적：평고을형간염병독（Hepatitis B Virus，HBV）감염여간포낭충（cystic hydatid disease,cHd）지간적관계，연후급출공제서장음다 HBV 감염적사로。방법대종2010년12월지2012년12월，래자우서장군구총의원간담외과적공94례간포낭충병환자진행일개회고성적연구，소유적환자래자우농촌구역，진행료복부 B 초검사，제시간포충，소유적환자관우간포충혈청학시험균위양성。대조조포함500명환자（300명남성，200명녀성），균위우아원체검중심진행체검적환자。결과환자적 HBV 표면항원양성솔명현고우대조조（12.7% Vs 5,2%；P=0.0017）。아문적수거표명， HBV 감염여 cHd 지간유명현적상관성。결론소유적 cHd 환자균응행 HBV 검찰。
objective:the aims of this study were to evaluate the association between HBV infection and cHd and suggest ways to reduce HBV infection which is still widespread in tibet.Methods: a retrospective study was conducted with 94 adult patients with active cHd referred to the Hepatobiliary surgery,General Hospital of tibet Military region from december 2010 to december 2012. all subjects came from rural areas of the region and underwent ultrasonography of abdomen which detected cHd of the liver. all the patients were serologically positive for echinococcus granulosus. the control group consisted of 500 patients (300 men and 200 women) tested in medical examination center of our hospital. results: the seroprevalence of HBs antigen was significantly higher in patients with active CHD than those in the control group (12.7% vs 5.2%;P=0.0017). Our data indicate that there is significant association between HBV infection and CHD. Conclusions: All patients with CHD should be screened for HBV infection.