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目的:探讨骨包虫病临床特点,为临床诊断和治疗提供方法和依据。方法:回顾性分析26例骨包虫病患者临床资料。结果:患者均行X线常规检查;20例行CT检查,20例行MRI检查,8例行免疫血清学检查。26例患者经手术治疗并行组织病理学检查证实为骨包虫病。首诊误诊15例,误诊率57.69%;复发≥1次者18例,复发率69.23%。18例出现并发症,反复发作并行2~6次手术。3例经手术完整切除后继续阿苯达唑治疗后痊愈,13例病情控制带虫生存,4例放弃治疗,6例失访。结论:骨包虫病症状不典型,易误诊。结合各种诊疗手段、尤其是MRI检查可提高诊断率。该病复发率高,手术治疗可明显改善症状,但不易彻底清除病灶,配合药物治疗可延缓复发时间。
Objective: To investigate the clinical features of the echinococcosis and provide methods and evidences for clinical diagnosis and treatment. Methods: A retrospective analysis of 26 cases of hydatid disease in patients with clinical data. Results: The patients underwent routine X-ray examination, CT scan was performed in 20 cases, MRI scan was performed in 20 cases and immuno-serological test was performed in 8 cases. Twenty-six patients were diagnosed as hydatidosis by surgical histopathological examination. The first misdiagnosis in 15 cases, misdiagnosis rate 57.69%; 18 cases of recurrence ≥ 1 times, the recurrence rate was 69.23%. 18 cases of complications, repeated episodes 2 to 6 operations. Three cases were cured after albendazole treatment after complete resection. Thirteen patients survived with zebrafish, four gave up treatment, and six were lost to follow-up. Conclusion: The echinococcosis symptoms are not typical and easily misdiagnosed. Combined with a variety of treatment methods, especially MRI examination can improve the diagnostic rate. The disease recurrence rate, surgical treatment can significantly improve the symptoms, but not completely clear the lesions, with drug treatment can delay the recurrence time.