【摘要】 目的　提高肝包虫病的诊断和治疗水平。方法　对 4 5 2例肝包虫病的临床资料进行回顾性分析。结果　术前确诊 4 4 9例 (99.3% ) ,误诊 3例 (0 .7% ) ,包虫破裂 33例 (7.3% )。包虫囊液皮试 (Casoni试验 )、B超、X线及放射性核素肝扫描有诊断价值。4 5 2例内囊均采用穿刺摘除 ,336例 (74 .3% )外囊腔缝合闭锁 ,79例 (17.5 % )外囊部分切除敞开 ,37例 (8.2 % )外囊腔闭式引流。治愈 4 5 1例 (99.8% ) ,死亡 1例 (0 .2 % )。结论　诊断肝包虫病的定位方法首选 B超 ,包虫囊液皮试具有较高特异性。内囊穿刺摘除、外囊腔缝合闭锁及部分切除敞开 ,手术操作简单 ,疗效满意 ,并发症少更多还原

【Abstract】 Objective To improve the diagnostic and treat ment levels of hepatic echinosocciasis.Methods The clinical data of 425 cases with hepatic echinococciasis were analysed retrospectively.Results 449 cases(99.7)were diagnosed preoperatively,but 3 cases (0.3%)were misdiagnosed.33 cases(7.3%)occurred the rupture of an echinococcus ectocysts.Casoni’s intradermal test,type B ultrasonic,X ray examing and nuclear imaging of liver had diagnostic significance.The inner cyst of 452 hepatic echinococciasis were removed by puncture.The out cyst of 336(74.3%) ones were closed by suture and 79(17.5%) ones were removed partially and opened.37(8.2%) ones underwent closed drainage of the out cyst.451 cases(99.8%) were cured,but 1 case(0.2%) died.Conclusion The B ultrasonic examination is one of the best ways of diagnostic.Casoni’s intradermal test has special diagnostic significance.Removing the inner cyst by puncture,closing the out cyst by suture,and partial removing and opening the out cyst are simple operative technique which have better effects and less complications.更多还原