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肝泡状棘球蚴病(AE)与原发性肝癌(HCC)容易误诊。本文就宁夏地区92例肝泡状棘球蚴病与同期85例原发性肝癌之间的鉴别诊断,分析探讨如下。 1 临床资料本组AE 92例,男性47例,女性45例。年龄最小15岁,最大50岁,其中20～40岁65例,占71%。病史最短者2月,最长者30年,平均3.6年。主要以右上腹包块就诊者86例,占93%。腹块触之坚如软骨或石块。Casoni试验76例阳性占83%,AFP测定32例均为阴性。肝区X线所见斑点状钙化灶45例。A型超声波34例中28例显示实性波形,6例出现液平,B超25例显示肝区一不规则的实性占位性病变,与正常
Hepatic alveolar echinococcosis (AE) and primary liver cancer (HCC) are easily misdiagnosed. In this paper, the differential diagnosis between 92 cases of hepatobiliary echinococcosis in Ningxia area and 85 cases of primary hepatocellular carcinoma in the same period are analyzed and discussed as follows. 1 clinical data of this group AE 92 cases, 47 males and 45 females. The youngest is 15 years old and the oldest is 50 years old, among which 65 cases are between 20 and 40, accounting for 71%. The shortest medical history was in February, and the longest was 30 years, with an average of 3.6 years. Mainly in the right upper abdominal mass of 86 patients, accounting for 93%. The abdomen touches like cartilage or stones. In the Casoni trial, 76 cases were positive for 83%, and AFP was found to be negative in 32 cases. Spot-like calcification lesions were found in 45 cases in the liver area. In 28 cases of type A ultrasound, 28 cases showed solid waveforms, 6 cases showed fluid level, and 25 cases of B-ultrasound showed an irregular solid occupying lesion in the liver area.