摘要
目的分析探讨肾细粒棘球蚴病的诊治方法。方法对1980年1月至2009年1月收治的肾棘球蚴病31例资料进行分析。结果31例病人均有疫区接触史，患侧腰痛和腹部包块为主要临床表现，包虫免疫试验、B超和CT诊断符合率分别为77．8％、38．7％和54．5％。31例中19例术前诊断明确，采用内囊摘除术为主的手术治疗，术前3例曾经皮肾穿刺介入治疗，4例外伤破裂，共有6例出现过敏性休克，经抗过敏、抗感染、驱虫、手术治疗后治愈。术后7例复发。结论流行病学、免疫学、CT及B超检查是诊断肾棘球蚴病的主要方法。肾部分切除或内囊摘除术是治疗的主要手段。
Objectives To study the diagnosis and treatment of renal echinococcosis. Methods 31 cases of renal echinococcosis treated from Jan. 1980 to Jan. 2009 were reviewed. Results All the patients have had history of contact with dogs and sheeps. The 4 laboratory findings of echinococcosis ,B - ultrasonic and CT - scan had a positive diagnosis rate of 78% ,38.7% and 54.5 % respectively. Open surgery was undertaken in 31, Pereutane- ous nephrolithotomy interventional treatment in 3 before surgery , 4 ruptured following injury. Recurrence after surgi- cal management occurred in 7. Conclusions Epidemiology history, immunological tests , CT - scan and B - ultrasonography are the cardinal means of diagnosis. Partial nephrectomy and transpelvic extirpation of the internal cysts are the main treatment of choice.
出处
《国际泌尿系统杂志》
2009年第5期599-601,共3页
International Journal of Urology and Nephrology
关键词
肾疾病
棘球蚴病
Kidney Diseases
Echinococcosis
