肝泡型包虫病肝外转移的影像学研究进展 - 海南医学.PDF

海南医学2017 年5 月第28 卷第9 期 doi:10.3969/j.issn.1003-6350.2017.09.030 ·综 述· 肝泡型包虫病肝外转移的影像学研究进展 张全有，鲍海华 (青海大学附属医院影像中心，青海 西宁 810000) 【摘要】 肝泡型包虫病是一种严重危害人类健康、具有肝脏恶性肿瘤侵袭性及破坏性等特点的疾病。临床早 期发病隐匿，晚期常侵及血管或淋巴管向肝外转移，引起其他脏器病变。本文旨在研究肝泡型包虫病肝外转移的 影像学表现，提高临床工作者对肝外泡型包虫病的认识，做出早期诊断，延缓病程进展。 【关键词】 肝泡型包虫病；肝外；转移；影像学 【中图分类号】R38 【文献标识码】A 【文章编号】 1003—6350（2017 ）09—1463—03 Research progress on imaging of extrahepatic metastasis of hepatic alveolar echinococcosis. ZHANG Quan-you, BAO Hai-hua. Imaging Center, Qinghai University Affiliated Hospital, Xining 810000, Qinghai, CHINA 【Abstract 】 Hepatic alveolar echinococcosis is a serious hazardous disease to human health, which has the inva- sive and destructive features of liver malignant tumor. It is characterized by insidious onset in early clinical stage, inva- sion of blood vessels or lymphatic vessels and extrahepatic metastasis in the late clinical stage, resulting in diseases in other organs. This review aims to summarize and analyze the imaging findings of extrahepatic metastasis of hepatic alve- olar echinococcosis, in order to help clinical workers understand hepatic alveolar echinococcosis, make diagnosis early and delay the progression of the disease. 【Key words 】 Hepatic alveolar echinococcosis (HAE); Extrahepatic; Metastasis; Imaging 肝泡型包虫病又称肝泡状棘球蚴病(hepatic 散加权序列(diffusion weighted imaging ，DWI)显示多 alveolar echinococcosis ，HAE) ，主要流行于牧区，西北 数病灶尤其坏死性病灶边缘出现连续或不连续环状 [5] 五省多见，青海属于高发地区。肝泡型包虫病是一种恶 高信号影，尹桂秀等 认为此征象与病灶边缘纤维组 性寄生虫病，由多房棘球