肝囊肿病的鉴别诊断

中华普通外科杂志 Pub Date : 2019-10-25 DOI:10.3760/CMA.J.ISSN.1007-631X.2019.10.012

Taxifulati Nijiati, Xin-feng Zhang, A. Tuerganaili, Y. Shao, Xuean Yang, Xin Ma, null Xiermaimaiti, Ahan Ayifuhan

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引用次数: 0

摘要

目的探讨单囊性肝棘球蚴病与单囊性囊肿的鉴别方法。方法对新疆医科大学第一附属医院2014年4月至2018年8月收治的30例肝单囊性疾病进行误诊分析。比较病史、影像学特征、免疫学检查等相关临床资料，12例肝囊肿患者术前被误诊为肝囊性棘球蚴病。两组间嗜酸性粒细胞计数（Eo#）（t=1.35，P>0.05）、白蛋白（t=0.38，P>0.05。结论肝囊性棘球蚴病的抗EgB和抗EgCF抗体水平高于单个肝囊肿。关键词：细粒棘球蚴病；肝囊肿；诊断

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Differential diagnosis for hepatic cyst diseases

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. Key words: Echinococcosis granulosa; Hepatic cysts; Diagnosis

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中华普通外科杂志

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