摘要
本文复习在新疆不同地区应用 B 型超声扫查法在人群中普查腹部包虫病的结果,在10154人中查出包虫病人164例,平均患病率为1.62%(最高为2.93%,最低为0.60%),女性的患病率均高于男性,49例普查检出的病人经手术治疗证实有3例误诊(手术证实为肝癌、肝囊肿和肝血肿各1例),46例经手术确诊为包虫病人,普查与手术确诊的符合率为93.88%。在五个普查地区分析居民包虫病患病率时发现,通过普查检出的病人占包虫病人总数的64.52%,而自动去医院就诊的病人占35.48%。5～14年龄组中普查检出的病人占77.50%。在两个调查点上5～15年龄组1931人中普查检出包虫病人17例,自动去医院就诊的病人仅2例,各占89.47%和10,53%。表明应用 B 超普查可以早期发现“健康”人群中包虫病人,特别是在低年龄组人群中具有极大的优越性。应用 B 超随访66例经手术治疗后不同时间的肝包虫病人。发现20例仍有包囊存在,复发率30.3%.其中有无重新感染的病例值得研究.作者认为腹部 B 超扫查做为包虫病流行病学调查研究的工具和在人群中进行群体性早期诊断的手段有很大价值.
A retrospective review of the results of B-mode ultrasonography in the detection of ab- dominal cystic echinococcosis(CE)in mass survey in different parts of Xinjiang revealed an average morbidity rate of 1.62%(164/10154),the highest morbidity rate being 2.93% and the lowest being 0.60%,with the female to male sex ratio in favour of female.Three of 49 patients detected in ultrasonographic screening were misdiagnosed as having CE,they were confirmed by surgical operation to have had hepatic carcinoma,hepatic cyst and hepatic he- mangioma,respetively.The remaining 46 were surgically confirmed cases of CE.A coinci- dence rate of 93.88% between ultrasonographic screening and surgical confirmation was thus obtained.In five study areas,patients detected during uhrasonographic screening accounted for 64.52% of the total number of CE patients,whereas those who sought medical advice on- ly 35.48%,and 77.50% of the patients detected were in the age group of 5—14 years.In an- other investigation made in two of the five study areas,of 1931 children 5—15 years old 17 were found to have had CE and only 2(10.53%)of these sought medical advice.These find- ings show that B-mode ultrasonography can early detect CE patients in a“healthy”popula- tion and is of great value to younger groups in their disease detection.Sixty-six surgically treatd patients were followed up at different intervals by B-mode uttrasonography,and 20 of them were found to have hydatid cysts,giving a recurrence rate of 30.3%.Whether some of the relapses had reinfection or not deserves further studies.It is concluded that abdominal B- mode ultrasnnography as a tool of epidemiologic survey of CE and a means of early diagnosis in mass survey is of great value in detecting CE patients.
出处
《疾病预防控制通报》
1992年第S1期8-14,共7页
Bulletin of Disease Control & Prevention(China)
关键词
B
型超声诊断仪
腹部棘球蚴病
流行病学
普查发现的病人
医院就诊病人
随访
B-mode ultrasonic diagnostic apparatus
Abdominal echinococcosis
Epidemiology
Patients detected in screening
Patients attending hospital
Follow-up
