[Clinical study of liver alveolar hydatid disease].
113 patients with liver alveolar hydatid disease confirmed by laparotomy were analyzed. The patients were found in epidemic areas; this factor was considered in the diagnosis of the disease. Digestive tract symptoms and right epigastric mass, usually as firm as a stone, were the commonly seen clinical features. Many patients suffered from light anemia and hepatosis. Casoni test and PPA-ELISA were positive in 85.84% and 100% of the patients respectively. B-ultrasonography was most useful diagnostic means with characteristic wave shape and figure, and the diagnosis was confirmed by laparotomy in 93.18% of the patients. Most lesions were single large-well-circumscribed masses (53.93%); nodular lesions and mixed type lesions were found in 29.2% and 16.81% of the patients respectively. Radical resection was performed in 20 patients (17.7%), 85% of the patients were cured. Symptoms were relieved in 75% of the late-stage patients undergoing tumor excavation and drainage plus pharmacotherapy. Patients treated by albendazole, medicinal herbs, or both showed similar effective rates of 86.37%, 90%, and 88.23%, respectively (P greater than 0.05).
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Research Laboratory of Hepatobiliary Surgery, Xuzhou Medical College.
D000293:Adolescent; D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004444:Echinococcosis, Hepatic / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006498:Hepatectomy; D006801:Humans; D008099:Liver / Q000473:pathology; D008297:Male; D008875:Middle Aged
D015766:Albendazole