Advancement of diagnosis and surgical treatment for hepatic echinococcosis
10.3760/cma.j.issn.1673-9752.2011.04.014
- VernacularTitle:肝包虫病诊断和手术治疗新进展
- Author:
Wen HAO
- Publication Type:Journal Article
- Keywords:
Hepatic cystic echinococcosis;
Hepatic alveolar echinococcosis;
Diagnosis;
Surgical treatment
- From:
Chinese Journal of Digestive Surgery
2011;10(4):290-292
- CountryChina
- Language:Chinese
-
Abstract:
Hepatic echinococcosis(HE)is a zoonosis seriously affecting the population in west China.Computed tomography(CT),magnetic resonance angiography,ultrasound angiography can be used for detection of HE with the advantages of multiple angles and high definition.CT perfusion imaging,magnetic resonance perfusion imaging,diffusion weighted imaging and magnetic resonance spectrum may provide molecular imaging to visualize HE in vitro.Total cystectomy is a radical method for the treatment of hepatic cystic echinococcosis (HCE),but has the drawbacks of HE recurrence and bile leakage;subradical cystectomy not only eliminate residual cavity of HAE,but also effectively avoids the risks which might be caused by total cystectomy.Radical hepatectomy is the first choice for the treatment of hepatic alveolar echinococcosis(HAE),while for patients with end-stage HCE,liver transplantation is the final choice of treatment.
