肝囊型包虫病.pptVIP

Hepatic Cystic Echinococcosis 肝囊型包虫病 本页插入相关视频 Echinococcosis Cystic Echinococcosis CE Alveolar Echinococcosis AE The Class of Echinococcosis Cystic Echinococcosis CE The life cycle Organ localization Hydatid Distribution in the World Distribution High incidence region in China： Xin-jiang, Gansu, Qinghai, Ningxia, Sichuan, Inner Mongolia, Tibet. Estimated nuber of patients about 1.50 millions, Affected population about 15 millions. Summary of 9351 Hydatid Patients in XHCRI from 1957 to 2012 CE 8988 cases （96.21%） AE 363 cases （3.88%） Liver 6954 cases （74.36%） Lung 1721 cases （18.40%） Brain 252 cases （2.69%） Other organ 424 cases （4.53%） Distribution 96.21% 3.88% Pathology for E.granulosus Clinical Manifestation of Hepatic CE The clinical symptomatology of CE is variable and never pathognomonic. The spectrum depends primarily on: The organ(s) involved The size of the cysts and their site within the affected organ The interaction between the expanding cysts and the adjacent organ structures The complications related to cyst rupture, spread of protoscoleces, and bacterial infection. Diagnosis of Hepatic Echinococcosis Diagnosis Physical imaging methods Immunodiagnostics Radiology Ultrasonography CT scanning MRL Crude antigen Purified antigen Recombinant antigen Native antigen Imaging Diagnosis and Classification for Hepatic CE Imaging Diagnosis and Classification for Hepatic CE Treatment for Hepatic CE Second choice Subtotal cystectomy First choice Total cystectomy Endocystectomy Next choice Total Cystectomy Well exposure CE Finding potential space and ligating intrahepatic duct Adventitial strip Removing the whole cyst and the traumatic surface Total Cystectomy Total Cyst Subtotal Cystectomy CT scan Puncture/Injection Taking out endocyct Cutting off max pericyst Subtotal Cystectomy Conservative Operation (endocystectomy