CAJ | 학술논문

肝泡型包虫病（HAE）是一种严重危害中国西部人群的人畜共患寄生虫病，严重影响患者的生活质量。近年来随着根治性手术切除率的不断提高，以往认为无法根治性切除的晚期HAE患者也有根治的可能，但部分无法根治性切除的患者仍然存在并发症多、生存质量差等问题，因此HAE被认为是难治性、复杂性疾病。单纯传统专业组讨论的经验性诊治模式不能准确地应用多个学科临床技能全方位专业化、规范化的诊治策略，无法满足晚期难治性HAE的治疗；多个学科协作诊治模式能够有机地结合目前各项治疗方式的优点，制订合理的个体化综合治疗方案。对当前HAE多学科个体化治疗作一综述，认为多学科协作综合个体化治疗是晚期难治性HAE的首选治疗方法，是患者获得长期生存的最佳手段。
간포형포충병（HAE）시일충엄중위해중국서부인군적인축공환기생충병，엄중영향환자적생활질량。근년래수착근치성수술절제솔적불단제고，이왕인위무법근치성절제적만기HAE환자야유근치적가능，단부분무법근치성절제적환자잉연존재병발증다、생존질량차등문제，인차HAE피인위시난치성、복잡성질병。단순전통전업조토론적경험성진치모식불능준학지응용다개학과림상기능전방위전업화、규범화적진치책략，무법만족만기난치성HAE적치료；다개학과협작진치모식능구유궤지결합목전각항치료방식적우점，제정합리적개체화종합치료방안。대당전HAE다학과개체화치료작일종술，인위다학과협작종합개체화치료시만기난치성HAE적수선치료방법，시환자획득장기생존적최가수단。
Hepatic alveolar echinococcosis (HAE)is a zoonotic parasitic disease that seriously threatens the population in western China and compromises patients′quality of life.With the continuous improvement in radical resection rate in recent years,late-stage HAE pa-tients that were incurable in the past now have the opportunity for radical resection.However,patients who are not suitable candidates for radical resection still suffer from various complications and poor quality of life.Therefore,HAE is still considered a refractory and complex disease.The simple empirical treatment model provided by traditional professional discussion is unable to satisfy the treatment of advanced refractory HAE as it is unable to integrate specialized,standardized clinical skills for diagnosis and treatment.Multidisciplinary individual-ized treatment (MDT)organically integrates the advantages of the available treatment into a reasonable individualized comprehensive treat-ment regimen.This review summarizes the advances in MDT for HAE as the best option to increase long-term survival,and suggests MDT as the first-line treatment for late-stage refractory hepatic alveolar echinococcosis.