TI:Cl inical Analysis on Hepatic Hydatid Disease in Yil i River Valley

AU:GAO Yongsheng , ZHU Mabai , GUO Yongzhong , DIL Murati , Arxen , WAN G Yan , CHU YIming , WEN Hao , L IAN G Dong , L I Shi2cai , L I Changyu

AD:( Yili Branch , Xinjiang Institute of Hydatid Disease , Yili 835000 , China)

【Abstract】　Objective To analyze the clinical diagnosis and treatment of hepatic hydatid disease and its epidemiological characteristics in Yili river valley. 　Methods 　Retrospective investigation was carried out on 2 049 cases collected in 1993～2003. Clinical diagnosis was made by ways of intradermal test , serological test , ultrasound , X2ray , CT and/ or MRI , majority of them received surgical operation. 　Results 　Among the 2 049 cases , cystic hydatidosis occupied 96 %(1 965/ 2 049) ,while 4 %(84/ 2 049) were alveolar hydatidosis. 99 % (2 034/ 2 049) accepted surgery including hepatolobectomy , endocysto2 my and hydatidostomy in 302 cases (1417 %) without relapses. 754 cases (3617 %) received chemotherapy (praziquantel , al2 bendazole) after surgical operation. The disease distributed in agri2pastoral areas along the valley. Local residents from different minorities had a close contact with dogs , 54 % of the cases were females and 48 % of the cases were in the group of 25 – 49 years old. The incidence tends to decline in the years. 　Conclusion 　Hydatidosis is still an important health problem in the region. Further practices for improving treatment especially surgical intervention and for epidemiological investigation are needed.

【Key words】　Hydatidosis ; Liver ; Epidemiology ; Diagnosis ; Treatment