Analysis of Clinical Effects about High Intensity Focused Ultrasound in Treatment of 8 Hepatic Echinococosis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 ZHANGYa-hui ^1,2 , LIQu-jin ¹ , RANLi-feng ³ , ZHUHui ³ ,  GONGJian-ping ¹

1. Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China;
2. The Second Department of Surgery, Tradition Chinese Medicine Hospital of Rongchang County, Rongchang 402460, Chongqing, China;
3. Clinical Center for Tumor Therapy, The Second Clinical College and Affiliated Hospital, Chongqing Medical University, Chongqing 400010, China;

Corresponding?author：

GONGJian-ping, Email: gongjianping11@126.com

Keywords：

Hepatic echinococcosis; Liver hydatid cyst disease; High intensity focused ultrasound

DOI：

10.7507/1007-9424.20150041

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the safety and effectiveness of high intensity focused ultrasound (HIFU) in treatment of hepatic echinococcosis. Methods The clinical data of 8 patients with hepatic echinococcosis from 2008 to 2010 in the HIFU treatment center of The Second Affiliated Hospital of Chongqing Medical University were analyzed retrospectively, the effect of HIFU treatment, postoperative liver area pain, fever, skin burn and other complications were evaluated, the prognosis and recurrence were followed-up. Results All the clinical manifestations and imaging manifes-tations of these 8 patients were improved after HIFU treatment. The liver functions of all the patients were injuried, which all were returned to normal within 5 days. Three patients suffered from fever and recovered within 6 days. Six patients appeared pain of liver area and relieved within 7 days. Operation area skin was basically normal, except 3 cases of mild swelling, no special complications happened. Conclusion From the limited data initially shows that it is a safe and effec-tive method of HIFU in treatment of hepatic echinococcosis, which is little invasion and less postoperative complications.

Citation： ZHANGYa-hui, LIQu-jin, RANLi-feng, ZHUHui, GONGJian-ping. Analysis of Clinical Effects about High Intensity Focused Ultrasound in Treatment of 8 Hepatic Echinococosis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(2): 149-153. doi: 10.7507/1007-9424.20150041 Copy

1.	?Chai JJ. Epidemiological studies on cystic echinococcosis in China-a review. Biomed Environ Sci, 1995, 8(2): 122-136.
2.	Akhan O, Ozmen MN, Din?er A, et al. Liver hydatid disease: long-term results of percutaneous treatment. Radiology, 1996, 198(1): 259-264.
3.	Nunnari G, Pinzone MR, Gruttadauria S, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol, 2012, 18(13): 1448-1458.
4.	Sayek I, Tirnaksiz MB, Dogan R. Cystic hydatid disease: Current trends in diagnosis and management. Surg Today, 2004, 34(12): 987-996.
5.	徐明謙, 董兆虎.肝包蟲病的CT診斷.中華放射學雜志, 1995, 29(9): 612-615.
6.	Brunetti E, White AC Jr. Cestode infestations: hydatid disease and cysticercosis. Infect Dis Clin North Am, 2012, 26(2): 421-435.
7.	牟永山.肝包蟲病28例診治體會.肝膽外科雜志, 2002, 10(2): 120-121.
8.	郭麗英, 欒梅香.學齡前兒童肝包蟲病的診斷和治療體會.中華肝膽外科雜志, 2003, 9(1): 13.
9.	朱馬拜, 阿爾新, 葉爾江, 等.包蟲病快速診斷試驗與包蟲囊液皮內過敏試驗對比研究.中國普通外科雜志, 2005, 7(7): 549-550.
10.	Safioleas MC, Misiakos EP, Kouvaraki M, et al. Hydatid disease of the liver: a continuing surgical problem. Arch Surg, 2006, 141(11): 1101-1108.
11.	王懷祿, 孫厚坦, 趙夏夏, 等.肝包蟲病術后復發因素的探討.中國寄生蟲學與寄生蟲病雜志, 1997, 15(1): 64.
12.	鄒曉毅, 葉彬, 王俊安, 等.高強度聚焦超聲波對細粒棘球絳蟲原頭節酶活性的影響.中國人獸共患病學報, 2007, 23(11): 1097-1100.
13.	金成兵, 冉立峰, 楊煒, 等. HIFU聯合立體定向放療治療肝臟惡性腫瘤的初步臨床觀察.中國超聲醫學雜志, 2011, 27(7): 659-662.
14.	金成兵, 冉立峰, 楊煒, 等.高強度聚焦超聲治療放療后殘留肝癌的初步臨床觀察.中華超聲影像學雜志, 2011, 20(1): 22-25.
15.	Vaezy S, Zderic V. Hemorrhage control using high intensity focused ultrasound. Int J Hyperthermia, 2007, 23(2): 203-211.
16.	Gollackner B, Langle F, Auer H, et al. Radical surgical therapy of abdominal cystic hydatid disease: Factors of recurrence. World J Surg, 2000, 24(6): 717-721.

1. ?Chai JJ. Epidemiological studies on cystic echinococcosis in China-a review. Biomed Environ Sci, 1995, 8(2): 122-136.
2. Akhan O, Ozmen MN, Din?er A, et al. Liver hydatid disease: long-term results of percutaneous treatment. Radiology, 1996, 198(1): 259-264.
3. Nunnari G, Pinzone MR, Gruttadauria S, et al. Hepatic echinococcosis: clinical and therapeutic aspects. World J Gastroenterol, 2012, 18(13): 1448-1458.
4. Sayek I, Tirnaksiz MB, Dogan R. Cystic hydatid disease: Current trends in diagnosis and management. Surg Today, 2004, 34(12): 987-996.
5. 徐明謙, 董兆虎.肝包蟲病的CT診斷.中華放射學雜志, 1995, 29(9): 612-615.
6. Brunetti E, White AC Jr. Cestode infestations: hydatid disease and cysticercosis. Infect Dis Clin North Am, 2012, 26(2): 421-435.
7. 牟永山.肝包蟲病28例診治體會.肝膽外科雜志, 2002, 10(2): 120-121.
8. 郭麗英, 欒梅香.學齡前兒童肝包蟲病的診斷和治療體會.中華肝膽外科雜志, 2003, 9(1): 13.
9. 朱馬拜, 阿爾新, 葉爾江, 等.包蟲病快速診斷試驗與包蟲囊液皮內過敏試驗對比研究.中國普通外科雜志, 2005, 7(7): 549-550.
10. Safioleas MC, Misiakos EP, Kouvaraki M, et al. Hydatid disease of the liver: a continuing surgical problem. Arch Surg, 2006, 141(11): 1101-1108.
11. 王懷祿, 孫厚坦, 趙夏夏, 等.肝包蟲病術后復發因素的探討.中國寄生蟲學與寄生蟲病雜志, 1997, 15(1): 64.
12. 鄒曉毅, 葉彬, 王俊安, 等.高強度聚焦超聲波對細粒棘球絳蟲原頭節酶活性的影響.中國人獸共患病學報, 2007, 23(11): 1097-1100.
13. 金成兵, 冉立峰, 楊煒, 等. HIFU聯合立體定向放療治療肝臟惡性腫瘤的初步臨床觀察.中國超聲醫學雜志, 2011, 27(7): 659-662.
14. 金成兵, 冉立峰, 楊煒, 等.高強度聚焦超聲治療放療后殘留肝癌的初步臨床觀察.中華超聲影像學雜志, 2011, 20(1): 22-25.
15. Vaezy S, Zderic V. Hemorrhage control using high intensity focused ultrasound. Int J Hyperthermia, 2007, 23(2): 203-211.
16. Gollackner B, Langle F, Auer H, et al. Radical surgical therapy of abdominal cystic hydatid disease: Factors of recurrence. World J Surg, 2000, 24(6): 717-721.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Analysis of Clinical Effects about High Intensity Focused Ultrasound in Treatment of 8 Hepatic Echinococosis

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