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对98例原发性肝细粒棘球蚴病人,149个肝包虫囊肿进行了超声影象学分型和组织病理学观察。结果表明,超声分型基本上可反映肝细粒棘球蚴囊肿发展阶段的病理特征,可看出随着患者年龄增长,包虫囊肿有由Ⅰ型至Ⅴ型转化的趋势。组织学观察表明,这一转化过程伴随着细粒棘球蚴囊肿自身损伤的逐渐加重。反映了肝细粒棘球蚴囊肿发生、发展和衰亡的规律。结果还表明,在肝细粒棘球蚴病例中,活力基本正常、损伤和死亡的囊肿约各占1/3。上述结果可供肝细粒棘球蚴病化疗中评价疗效时参考。
98 cases of primary hepatocystic echinococcosis patients, 149 hydatid cyst ultrasound imaging and histopathological observation. The results showed that sonography could basically reflect the pathological features of hydatid cyst at stage of development. It can be seen that hydatid cyst transformed from type Ⅰ to Ⅴ with age. Histological observation showed that this transformation process accompanied by gradual aggravation of Echinococcus granulosus cyst itself. Reflects the occurrence of liver cystic hydatid cyst, the development and decline of the law. The results also show that in the case of liver granulomalacia, vitality is basically normal, the damage and death of the cysts about each one-third. The above results for the treatment of liver hydatid disease in the evaluation of the efficacy of chemotherapy reference.