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由于多房棘球绦虫所致肝泡状棘球蚴病我们曾在1965年在国内首次作了报道。此后共处理43例,其中男31例,女12例;年龄为14～52岁;27例为少数民族。主要症状为上腹部坚硬、圆形、不平包块。入院前发现为时2月至7年不等。43例中有黄疸者10例。免疫试验结果:43例Casoni皮内试验皆为阳性,8例间接血凝试验及对流免疫电泳试验阳性。嗜酸性细胞增多者4～18％。其他检查为超声波检查、X线摄片、同位素扫描以及经皮肝穿造影等。肿块及部分肝脏根治切除是一般治疗方法。如病变局限于肝脏一侧,建议做半肝切除。切除率较低(5例)。多因肿块太大、肝脏二侧受累无法切除。切除病灶者手术预后
Due to Echinococcus multilocularis-induced alveolar hydatid disease we first reported in 1965 in China. After treatment of 43 cases, including 31 males and 12 females; aged 14 to 52 years; 27 were ethnic minorities. The main symptoms of the upper abdomen hard, round, uneven mass. Found before admission for the period from February to 7 years. 43 cases of jaundice in 10 cases. Immune test results: 43 cases of Casoni intradermal test were positive, 8 cases of indirect hemagglutination test and convective immunity electrophoresis test was positive. Eosinophilia 4-18%. Other tests for the ultrasound examination, X-ray, isotope scan and percutaneous transhepatic angiography. Mass and partial radical resection of the liver is the general treatment. If the lesion is limited to the liver side, it is recommended to do semi-hepatectomy. The resection rate is low (5 cases). Mostly due to mass is too large, liver involvement can not be removed on both sides. Surgical outcome of excision lesions