title: [Multi-disciplinary treatment for advanced schistosomiasis].
abstract: OBJECTIVE
  To assess the efficiency of multi-disciplinary treatment (MDT) for advanced schistosomiasis.
  
  
  METHODS
  A total of 173 advanced schistosomiasis patients who received MDT were selected from January 2010 to December 2011. These patients included 75 splenomegaly cases and 98 ascites cases. Other 193 advanced schistosomiasis patients who received single-discipline treatment (SDT) from January 2007 to December 2009 were also selected, and of them 84 cases were splenomegaly and 109 were ascites. The clinical efficiencies of the two different treatments were analyzed and assessed.
  
  
  RESULTS
  Compared to the SDT group, the splenomegaly cases treated by MDT showed a shorter pre-operative preparation time and less days in hospitalization (both P < 0.01), less operation duration, decreased post-operative complications, lower hospitalization costs (all P < 0.05), and less patient complaints (P > 0.05). The ascites cases treated by MDT, compared to the SDT group, had less pre-treatment time, shorter ascites-disappearing time (both P <0.01), and less hospitalization duration, decreased post-treatment complications, lower hospitalization costs and less patient complaints (all P < 0.05). Conclusion MDT has a better efficiency in the treatment of advanced schistosomiasis, and it reduces the operation complications and improves the life quality of the patients.
authors.affiliation: Hunan Institute of Parasitic Diseases, Natioanl Key Subject on Schisotosmiasis, Yueyang 414000, China.
authors.forename: Wei-Cheng
authors.initials: WC
authors.lastname: Deng
authors.forename: Zheng-Yuan
authors.initials: ZY
authors.lastname: Zhao
authors.forename: Jia-Xin
authors.initials: JX
authors.lastname: Liu
authors.forename: Sheng-Ming
authors.initials: SM
authors.lastname: Li
authors.forename: Feng-Ying
authors.initials: FY
authors.lastname: Guo
authors.forename: Zhang-Hua
authors.initials: ZH
authors.lastname: Wang
authors.forename: Guang-Hui
authors.initials: GH
authors.lastname: Ren
authors.forename: Yue-Sheng
authors.initials: YS
authors.lastname: Li
mesh_terms: D001201:Ascites / Q000150:complications; D018450:Disease Progression; D006801:Humans; D012189:Retrospective Studies; D012552:Schistosomiasis / Q000150:complications / Q000628:therapy*; D013163:Splenomegaly / Q000150:complications; D016896:Treatment Outcome