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多器官泡状棘球蚴病的诊断治疗 被引量:8

Diagnosis and treatment for alveolar echinoeoccosis in multi-organs
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摘要 目的探讨多器官泡状棘球蚴病(alveolar echinococcosis,AE)临床诊断和治疗。方法回顾性分析我院2000-2006年收治的9例多器官AE患者的临床资料。结果9例中根治性肝肺切除2例,4例给予阿苯达唑脂质体口服液疗效良好,2例因其肝胆和颅脑并发症行手术治疗,辅以化疗,1例因自动放弃治疗而死亡。结论多器官AE的诊断和治疗均有一定难度。多器官AE必须通过综合分析才能准确诊断,根治性切除是首选方法。但因存在多器官的受累难以手术根治,故有效的药物化疗能在很大程度上延缓患者的生命并改善生活质量。 Objective To discuss the diagnosis and treatment for alveolar echinococcosis (AE) in multiorgans. Methods Reviewing clinical data for 9 AE cases in our hospital between 2000 and 2006. Results It was rather difficult to be right diagnosed for multi-organs AE patients, 2 cases be cured by radical resection, and 6 cases improved in good effect after taking liposmal albendazole, one case died selfrefuse to be treated without treatment. Conclusions It was very difficult to cure multi-organs AE by surgery, especially to the metastasis, therefore, effective drug treatment may play important role in prolonging and improving relieving clinical manifestation and the patients' life quality.
出处 《中华消化外科杂志》 CAS CSCD 2007年第3期184-187,共4页 Chinese Journal of Digestive Surgery
关键词 泡状棘球蚴病 多器官 药物治疗 Alveolar echinococcosis Multi-organs Drug treatment
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