| 摘要: |
| 目的 探讨西藏地区肝脏与盆腔共发包虫病超声分型的相关性。方法 回顾性分析西藏自治区人民医院收治的23例肝脏和盆腔共发包虫病患者临床及超声检查资料，均经手术病理或经超声及CT两种影像学检查证实，观察肝脏及盆腔病灶的位置、大小及图像特征并进行WHO分型，分析肝脏与盆腔共发包虫病超声分型的相关性。结果 23例肝脏和盆腔共发包虫病患者中，肝脏病灶位于左肝3例，右肝19例，左右叶多发1例，除2例病灶位于肝右后叶外，余21例病灶均贴近肝包膜；超声分型为多子囊型2例，内囊破裂型3例，实变型3例，钙化型15例。盆腔病灶位于腹盆腔3例，盆腔20例，其中左侧盆腔3例，右侧盆腔9例，累及整个盆腔8例；超声分型为单囊型1例，多子囊型10例，内囊破裂型4例，实变型4例，钙化型4例；超声准确诊断14例（60.86%），未定性8例（34.78%），定性错误1例（4.34%）。同一患者盆腔包虫病超声分型均低于或等于肝包虫病超声分型，二者存在相关性（r=0.442，P＜0.05）。结论 肝脏与盆腔共发包虫病中，盆腔包虫病灶多由肝包虫病灶种植转移，二者的超声分型之间存在显著相关性。 |
| 关键词: 超声检查 盆腔包虫病 肝包虫病 超声分型 |
| DOI： |
| 投稿时间：2024-06-23修订日期：2024-08-31 |
| 基金项目:西藏自治区自然科学基金 |
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| Correlation between Ultrasonic Classification of Hepatic and Pelvic Cystic Echinococcosis in the Tibet Region |
| sunxue,De Yang |
| (Tibet University;Department of Ultrasound，Tibet Autonomous Region People′s Hospital) |
| Abstract: |
| Background: To explore the correlation between ultrasound classification of liver hydatid disease and pelvic hydatid disease in the Tibet region.
Methods: A retrospective analysis was conducted on the clinical and ultrasound examination data of 23 patients with co-occurring hepatic and pelvic echinococcosis admitted to the People's Hospital of Tibet Autonomous Region. All cases were confirmed by surgical pathology or through both ultrasound and CT imaging examinations. The locations, sizes, and imaging characteristics of the hepatic and pelvic lesions were observed, and the WHO classification was applied to analyze the correlation between the ultrasound classification of hepatic and pelvic echinococcosis.
Results: In a cohort of 23 patients with concurrent liver and pelvic cysticercosis, hepatic lesions were identified in the left lobe in 3 cases, the right lobe in 19 cases, and bilaterally in 1 case. With the exception of 2 lesions situated in the right posterior segment of the liver, all remaining 21 lesions were closely associated with the liver capsule. The ultrasonographic subtypes were: multivesicular type in 2 cases, ruptured lesions in the pelvic region were located in the abdomen and pelvis in 3 cases, the pelvis in 20 cases, including 3 cases in the left pelvis, 9 cases in the right pelvis, and 8 cases affecting the entire pelvis. The ultrasonographic subtypes for these pelvic lesions comprised: single cyst type in 1 case, multivesicular type in 10 cases, ruptured inner cyst type in 4 cases, solid type in 4 cases, and calcified type in 4 cases. Ultrasonography correctly diagnosed 14 cases (60.86%), was inconclusive in 8 cases (34.78%), and incorrectly diagnosed 1 case (4.34%). In all cases of concurrent pelvic cysticercosis, the ultrasonographic subtypes were lower or equal to those of concurrent liver cysticercosis, indicating a correlation between the two. （r=0.442，P<0.05）
Conclusion: In the co-occurrence of liver and pelvic echinococcosis, pelvic echinococcosis lesions are mostly caused by implantation and metastasis of hepatic echinococcosis lesions, and there is a significant correlation between the ultrasound classification of the two. |
| Key words: Ultrasound examination Pelvic hydatid disease Liver hydatid disease Ultrasound classification. |
