Differential diagnosis for hepatic cyst diseases
10.3760/cma.j.issn.1007-631X.2019.10.012
- VernacularTitle: 两种肝囊性疾病的误诊原因分析
- Author:
Taxifulati NIJIATI
1
;
Xinfeng ZHANG
1
;
Aji TUERGANAILI
1
;
Yingmei SHAO
1
;
Xuean YANG
1
;
Xin MA
1
;
Ahan AYIFUHAN
1
Author Information
1. Department of Hepatobiallary & Hydatid Diseases, Digestive and Vascular Surgery Center, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China
- Collective Name:Department of Hepatobiallary & Hydatid Diseases, Digestive and Vascular Surgery Center, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China
- Publication Type:Journal Article
- Keywords:
Echinococcosis granulosa;
Hepatic cysts;
Diagnosis
- From:
Chinese Journal of General Surgery
2019;34(10):863-866
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To invastigate how to differentiate the single cystic hepatic hydatidosis from single hepatic cysts.
Methods:From Apr 2014 to Aug 2018 at the First Affiliated Hospital of Xinjiang Medical University, 30 cases of liver single cystic diseases were misdiagnosed·Relevant clinical data were compared including medical history, imaging features, immunological examination etc.
Results:18 cases of echinococcosis were misdiagnosed as hepatic cysts before operation, and 12 patients with hepatic cysts were misdiagnosed as hepatic cystic echinococcosis before operation.There were no significant differences between the two groups in eosinophil count (Eo#)(t=1.35, P>0.05), albumin (t=0.38, P>0.05), aspartate aminotransferase (t=0.99, P>0.05), and CT values(t=0.85, P>0.05). The results suggest that anti-EgCF antibody(χ2=4.26, P<0.05) and EgB antibody (χ2=7.26, P<0.05) are of significantly differential value in the identification of the two diseases.
Conclusion:Levels of anti-EgB and anti-EgCF antibodies to hepatic cystic echinococcosis are higher than that to single hepatic cysts.
