Current Status of Treatment of Hepatic Echinococcosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANGYa-fei , LUHong-wei , JIHong , ZHAOEn-fa ,  LIYi-ming

Department of General Surgery, The Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an 710004, Shaanxi Province, China;

Corresponding?author：

LIYi-ming, Email: liyiming2003@sina.com

Keywords：

Hepatic echinococcosis; Operation treatment; Drug treatment; Clinical pathway

DOI：

10.7507/1007-9424.20150044

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To understand the current situation in the treatment of hepatic echinococcosis. Method The literatures about operation treatment, drug treatment, and the clinical pathway of hepatic echinococcosis were reviewed. Results Currently, with the continuous development of surgical techniques and the application of minimally invasive surgery, the operative treatments of hepatic echinococcosis had made a great progress, it was still the preferred treatment for the disease. Liver transplantation was made as the final choice. The use of aspiration, sclerotherapy or interventional technique brought a hope for patients intolerant to laparotomy. Moreover, chemotherapy drugs, Chinese herbal medicine, and drug combinations also achieved a very good effect in the treatment of hepatic echinococcosis. The clinical pathway provided a good direction for the treatment of hepatic echinococcosis. Conclusion For the treatment of hepatic echinococcosis various, we should choice a reasonable treatment according to the specific circumstances of patients, to achieve the best therapeutic effect with minimal trauma.

Citation： ZHANGYa-fei, LUHong-wei, JIHong, ZHAOEn-fa, LIYi-ming. Current Status of Treatment of Hepatic Echinococcosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(2): 162-165. doi: 10.7507/1007-9424.20150044 Copy

1.	?張先軍.包蟲病危害與預防.畜牧獸醫雜志, 2012, 31(1): 114-116.
2.	蔣次鵬, 陳根.包蟲病(棘球絳蟲病)臨床分類的探討.國際醫學寄生蟲病雜志, 2010, 37(4): 212-216.
3.	鮑佳春, 袁鳳來, 陸偉國.包蟲病治療進展.中國血吸蟲病防治雜志, 2010, 22(2): 197-199.
4.	才旦多杰, 鄭叢華, 劉巴睿, 等. 779例包蟲病住院病例調查研究.中國預防醫學雜志, 2007, 8(3): 286-288.
5.	巴桑頓珠, 羅亦剛, 黃磊, 等.肝囊型包蟲病內囊摘除術與外囊完整剝除術的對比研究.中華普通外科雜志, 2013, 28(7): 526-528.
6.	杜中, 郭林紅.手術治療肝包蟲病31例分析.實用醫院臨床雜志, 2013, 10(5): 235-236.
7.	Beyrouti MI, Beyrouti R, Bouassida M, et al. Hydatid cysts of the spigelian lobe (segmentⅠ) of the liver: clinical and therapeutic particularities. Presse Med, 2007, 36(12 Pt 1): 1732-1737.
8.	母齊鳴, 廖波, 王剛, 等.手術治療肝包蟲病137例分析.實用醫院臨床雜志, 2013, 10(4): 135-137.
9.	王琦, 劉清, 武向鵬, 等. 46例肝包蟲病患者合并術后膽漏的臨床分析.寧夏醫科大學學報, 2012, 34(6): 641-642.
10.	阿依甫汗·阿汗, 吐爾干艾力, 邵英梅, 等.肝包蟲病的外科治療現狀.肝膽外科雜志, 2009, 17(1): 13-14.
11.	Mueller PR, Dawson SL, Ferrucci JT, et al. Hepatic echinococcal cyst: successful percutaneous drainage. Radiology, 1985, 155(3): 627-628.
12.	胡雷, 陳漢.肝包蟲病的診斷及治療現狀.肝膽外科雜志, 2004, 12(5): 390-392.
13.	焦郭堂, 王校智, 高宏, 等.經皮粗管穿刺術治療包蟲病:附1 561例報告.中國普通外科雜志, 2005, 14(2): 128-130.
14.	Nasseri-Moghaddam S, Abrishami A, Taefi A, et al. Percutaneous needle aspiration, injection, and re-aspiration with or without benzimidazole coverage for uncomplicated hepatic hydatid cysts. Cochrane Database Syst Rev, 2011, (1): CD003623.
15.	K?ro?lu M, Erol B, Gürses C, et al. Hepatic cystic echinococcosis: percutaneous treatment as an outpatient procedure. Asian Pac J Trop Med, 2014, 7(3): 212-215.
16.	譚石, 王金銳.包蟲病的熱消融治療.中華醫學超聲雜志:電子版, 2006, 3(6): 325.
17.	任偉新, 肖湘生, 陳鵬, 等.肝泡狀棘球蚴病的DSA表現及介入治療.介入放射學雜志, 2004, 13(6): 496-498.
18.	馬存凱, 郭應興, 雷振武, 等.肝泡性包蟲并發梗阻性黃疸的介入治療.青海師范大學學報:自然科學版, 2012, 28(3): 106-107.
19.	譚家忠, 徐明謙, 外力, 等.腹腔鏡肝包蟲囊腫摘除術10例報告.普外臨床, 1994, 9(1): 42-43.
20.	閆曉琨, 雒潤慶, 石小平.腹腔鏡治療肝包蟲病18例報道.中國普外基礎與臨床雜志, 2012, 19(3): 318.
21.	Ramia JM, Poves I, Castellon C, et al. Radical laparoscopic treatment for liver hydatidosis. World J Surg, 2013, 37(10): 2387-2392.
22.	姜濤, 彭心宇.肝包蟲病治療的研究進展.農墾醫學, 2007, 29(2): 138-141.
23.	戴季蓬, 邵英梅, 溫浩, 等.肝包蟲病的診斷與治療進展.中華肝膽外科雜志, 2011, 17(5): 432-433.
24.	林建壽, 嚴得慶, 高亞軍.根治性肝包蟲病外科治療術式的療效比較.青海醫藥雜志, 2009, 39(5): 3-5.
25.	彭心宇, 張示杰, 牛建華, 等.肝包蟲病外科治療術式選擇的新觀點(附684例報道).腹部外科, 2003, 16(1): 19-21.
26.	楊孫虎, 阿不都斯木·艾沙, 阿合提別木·塔布斯, 等.外囊切除術治療復發性肝囊型包蟲病的體會(附15例報道).中國普外基礎與臨床雜志, 2014, 21(2): 226-228.
27.	Ayifuhan A, Tuerganaili A, Jun C, et al. Surgical treatment for hepatic alveolar echinococcosis: report of 50 cases. Hepatogastroenterology, 2012, 59(115): 790-793.
28.	Pan GD, Yan LN, Li B, et al. Liver transplantation for patients with hepatic alveolar echinococcosis in late stage. Hepatobiliary Pancreat Dis Int. 2004, 3(4), 499-503.
29.	Li F, Yang M, Li B, et al. Initial clinical results of orthotopic liver transplantation for hepatic alveolar echinococcosis. Liver Transpl, 2007, 13(6): 924-926.
30.	周永昌, 郭萬學.超聲醫學.第5版.北京:科學技術文獻出版.
31.	社, 2006: 688．.
32.	鄭強, 王曉全, 曹巖, 等.國內泡型包蟲病文獻分布.預防醫學情報雜志, 2006, 22(2): 170-172.
33.	溫浩, 邵英梅, 趙晉明, 等.兩型肝包蟲病手術療效547例臨床分析.中華消化外科雜志, 2007, 6(1): 13-18.
34.	Wang H, Liu QY, Wang ZM, et al. Clinical outcomes of ex vivo liver resection and liver autotransplantation for hepatic alveolar echinococcosis. J Huazhong Univ Sci Technol: Medical Sciences, 2012, 32(4): 598-600.
35.	Nunnari G, Pinzone MR, Gruttadauria S, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol, 2012, 18(13): 1448-1458.
36.	Gillet M, Miguet JP, Mantion G, et al. Orthotopic liver transplantation in alveolar echinococcosis of the liver: analysis of a series of six patients. Transplant Proc, 1988, 20(Suppl 1): 573-576.
37.	夏天, 嚴律南.肝移植治療肝泡狀棘球蚴病.中國普外基礎與臨床雜志, 2005, 12(2): 132-134.
38.	Kantarci M, Pirimoglu B, Aydinli B, et al. A rare reason for liver transplantation: hepatic alveoloar echinococcosis. Transpl Infect Dis, 2014, 16(3): 450-452.
39.	王軼, 張玉凱, 席慧霞.泡球蚴病的藥物治療進展.中國病原生物學雜志, 2009, 4(2): 145-147.
40.	李海濤, 單驕宇, 邵英梅, 等.阿苯達唑脂質體和阿苯達唑片治療囊型包蟲病的臨床療效及安全性.中華肝臟病雜志, 2011, 19(7): 532-536.
41.	Reuter S, Manfras B, Merkle M, et al. In vitro activities of itraconazole, methiazole, and nitazoxanide versus echinococcus multilocularis larvae. Antimicrob Agents Chemother, 2006, 50(9): 2966-2970.
42.	王科燕, 杜新遠, 張永軍, 等.中草藥治療棘球蚴病的研究概況.西北藥學雜志, 2009, 24(3): 240-242.
43.	Richter D, Richter J, Grüner B, et al. In vitro efficacy of triclabendazole and clorsulon against the larval stage of echinococcus multilocularis. Parasitol Res, 2013, 112(4), 1655-1660.
44.	張睿, 景濤, 傅宣英, 等.苦參堿和阿苯達唑治療小鼠繼發性泡球蚴病的療效觀察.中國人獸共患病學報, 2006, 22(4): 342-346.
45.	王軼, 王琪, 陳根, 等.川芎嗪和阿苯達唑聯合治療小鼠繼發性泡球蚴病的療效觀察.中國病原生物學雜志, 2008, 3(6): 443-446.
46.	龔惠玲, 李文梅, 尹麗梅.六君子湯聯合阿苯達唑治療包蟲病療效觀察.衛生職業教育, 2014, 32(5): 139-140.
47.	李明子.臨床路徑的基本概念及其應用.中華護理雜志, 2010, 45(1): 59-61.
48.	李杰珍, 李作安, 李鳳嬌.肝囊型包蟲病開腹手術治療臨床路徑應用效果分析.?新疆醫學, 2013, 43(7): 18-21.

1. ?張先軍.包蟲病危害與預防.畜牧獸醫雜志, 2012, 31(1): 114-116.
2. 蔣次鵬, 陳根.包蟲病(棘球絳蟲病)臨床分類的探討.國際醫學寄生蟲病雜志, 2010, 37(4): 212-216.
3. 鮑佳春, 袁鳳來, 陸偉國.包蟲病治療進展.中國血吸蟲病防治雜志, 2010, 22(2): 197-199.
4. 才旦多杰, 鄭叢華, 劉巴睿, 等. 779例包蟲病住院病例調查研究.中國預防醫學雜志, 2007, 8(3): 286-288.
5. 巴桑頓珠, 羅亦剛, 黃磊, 等.肝囊型包蟲病內囊摘除術與外囊完整剝除術的對比研究.中華普通外科雜志, 2013, 28(7): 526-528.
6. 杜中, 郭林紅.手術治療肝包蟲病31例分析.實用醫院臨床雜志, 2013, 10(5): 235-236.
7. Beyrouti MI, Beyrouti R, Bouassida M, et al. Hydatid cysts of the spigelian lobe (segmentⅠ) of the liver: clinical and therapeutic particularities. Presse Med, 2007, 36(12 Pt 1): 1732-1737.
8. 母齊鳴, 廖波, 王剛, 等.手術治療肝包蟲病137例分析.實用醫院臨床雜志, 2013, 10(4): 135-137.
9. 王琦, 劉清, 武向鵬, 等. 46例肝包蟲病患者合并術后膽漏的臨床分析.寧夏醫科大學學報, 2012, 34(6): 641-642.
10. 阿依甫汗·阿汗, 吐爾干艾力, 邵英梅, 等.肝包蟲病的外科治療現狀.肝膽外科雜志, 2009, 17(1): 13-14.
11. Mueller PR, Dawson SL, Ferrucci JT, et al. Hepatic echinococcal cyst: successful percutaneous drainage. Radiology, 1985, 155(3): 627-628.
12. 胡雷, 陳漢.肝包蟲病的診斷及治療現狀.肝膽外科雜志, 2004, 12(5): 390-392.
13. 焦郭堂, 王校智, 高宏, 等.經皮粗管穿刺術治療包蟲病:附1 561例報告.中國普通外科雜志, 2005, 14(2): 128-130.
14. Nasseri-Moghaddam S, Abrishami A, Taefi A, et al. Percutaneous needle aspiration, injection, and re-aspiration with or without benzimidazole coverage for uncomplicated hepatic hydatid cysts. Cochrane Database Syst Rev, 2011, (1): CD003623.
15. K?ro?lu M, Erol B, Gürses C, et al. Hepatic cystic echinococcosis: percutaneous treatment as an outpatient procedure. Asian Pac J Trop Med, 2014, 7(3): 212-215.
16. 譚石, 王金銳.包蟲病的熱消融治療.中華醫學超聲雜志:電子版, 2006, 3(6): 325.
17. 任偉新, 肖湘生, 陳鵬, 等.肝泡狀棘球蚴病的DSA表現及介入治療.介入放射學雜志, 2004, 13(6): 496-498.
18. 馬存凱, 郭應興, 雷振武, 等.肝泡性包蟲并發梗阻性黃疸的介入治療.青海師范大學學報:自然科學版, 2012, 28(3): 106-107.
19. 譚家忠, 徐明謙, 外力, 等.腹腔鏡肝包蟲囊腫摘除術10例報告.普外臨床, 1994, 9(1): 42-43.
20. 閆曉琨, 雒潤慶, 石小平.腹腔鏡治療肝包蟲病18例報道.中國普外基礎與臨床雜志, 2012, 19(3): 318.
21. Ramia JM, Poves I, Castellon C, et al. Radical laparoscopic treatment for liver hydatidosis. World J Surg, 2013, 37(10): 2387-2392.
22. 姜濤, 彭心宇.肝包蟲病治療的研究進展.農墾醫學, 2007, 29(2): 138-141.
23. 戴季蓬, 邵英梅, 溫浩, 等.肝包蟲病的診斷與治療進展.中華肝膽外科雜志, 2011, 17(5): 432-433.
24. 林建壽, 嚴得慶, 高亞軍.根治性肝包蟲病外科治療術式的療效比較.青海醫藥雜志, 2009, 39(5): 3-5.
25. 彭心宇, 張示杰, 牛建華, 等.肝包蟲病外科治療術式選擇的新觀點(附684例報道).腹部外科, 2003, 16(1): 19-21.
26. 楊孫虎, 阿不都斯木·艾沙, 阿合提別木·塔布斯, 等.外囊切除術治療復發性肝囊型包蟲病的體會(附15例報道).中國普外基礎與臨床雜志, 2014, 21(2): 226-228.
27. Ayifuhan A, Tuerganaili A, Jun C, et al. Surgical treatment for hepatic alveolar echinococcosis: report of 50 cases. Hepatogastroenterology, 2012, 59(115): 790-793.
28. Pan GD, Yan LN, Li B, et al. Liver transplantation for patients with hepatic alveolar echinococcosis in late stage. Hepatobiliary Pancreat Dis Int. 2004, 3(4), 499-503.
29. Li F, Yang M, Li B, et al. Initial clinical results of orthotopic liver transplantation for hepatic alveolar echinococcosis. Liver Transpl, 2007, 13(6): 924-926.
30. 周永昌, 郭萬學.超聲醫學.第5版.北京:科學技術文獻出版.
31. 社, 2006: 688．.
32. 鄭強, 王曉全, 曹巖, 等.國內泡型包蟲病文獻分布.預防醫學情報雜志, 2006, 22(2): 170-172.
33. 溫浩, 邵英梅, 趙晉明, 等.兩型肝包蟲病手術療效547例臨床分析.中華消化外科雜志, 2007, 6(1): 13-18.
34. Wang H, Liu QY, Wang ZM, et al. Clinical outcomes of ex vivo liver resection and liver autotransplantation for hepatic alveolar echinococcosis. J Huazhong Univ Sci Technol: Medical Sciences, 2012, 32(4): 598-600.
35. Nunnari G, Pinzone MR, Gruttadauria S, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol, 2012, 18(13): 1448-1458.
36. Gillet M, Miguet JP, Mantion G, et al. Orthotopic liver transplantation in alveolar echinococcosis of the liver: analysis of a series of six patients. Transplant Proc, 1988, 20(Suppl 1): 573-576.
37. 夏天, 嚴律南.肝移植治療肝泡狀棘球蚴病.中國普外基礎與臨床雜志, 2005, 12(2): 132-134.
38. Kantarci M, Pirimoglu B, Aydinli B, et al. A rare reason for liver transplantation: hepatic alveoloar echinococcosis. Transpl Infect Dis, 2014, 16(3): 450-452.
39. 王軼, 張玉凱, 席慧霞.泡球蚴病的藥物治療進展.中國病原生物學雜志, 2009, 4(2): 145-147.
40. 李海濤, 單驕宇, 邵英梅, 等.阿苯達唑脂質體和阿苯達唑片治療囊型包蟲病的臨床療效及安全性.中華肝臟病雜志, 2011, 19(7): 532-536.
41. Reuter S, Manfras B, Merkle M, et al. In vitro activities of itraconazole, methiazole, and nitazoxanide versus echinococcus multilocularis larvae. Antimicrob Agents Chemother, 2006, 50(9): 2966-2970.
42. 王科燕, 杜新遠, 張永軍, 等.中草藥治療棘球蚴病的研究概況.西北藥學雜志, 2009, 24(3): 240-242.
43. Richter D, Richter J, Grüner B, et al. In vitro efficacy of triclabendazole and clorsulon against the larval stage of echinococcus multilocularis. Parasitol Res, 2013, 112(4), 1655-1660.
44. 張睿, 景濤, 傅宣英, 等.苦參堿和阿苯達唑治療小鼠繼發性泡球蚴病的療效觀察.中國人獸共患病學報, 2006, 22(4): 342-346.
45. 王軼, 王琪, 陳根, 等.川芎嗪和阿苯達唑聯合治療小鼠繼發性泡球蚴病的療效觀察.中國病原生物學雜志, 2008, 3(6): 443-446.
46. 龔惠玲, 李文梅, 尹麗梅.六君子湯聯合阿苯達唑治療包蟲病療效觀察.衛生職業教育, 2014, 32(5): 139-140.
47. 李明子.臨床路徑的基本概念及其應用.中華護理雜志, 2010, 45(1): 59-61.
48. 李杰珍, 李作安, 李鳳嬌.肝囊型包蟲病開腹手術治療臨床路徑應用效果分析.?新疆醫學, 2013, 43(7): 18-21.

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