目的 探讨肝包虫病误诊原因,提高肝包虫病的超声诊断能力.方法 回顾性分析10例肝包虫病的超声声像图资料,总结肝包虫病误诊的原因,并与相关肝占位性病变进行鉴别诊断.结果 10例肝包虫病患者超声误诊为肝畸胎瘤2例、肝腺瘤1例、肝癌2例、肝囊肿伴感染2例、肝囊肿1例和肝囊腺瘤2例,术后病理标本均证实为肝包虫病;除1例处于肝包虫病的活动期外,其余9例处于非活动期.结论 肝包虫病的误诊与超声图像表现不典型和内地超声科医师诊断经验不足有关.%Objective To explore the misdiagnosed reasons of liver echinococcosis and improve ultrasound diagnosis ability in liver echinococcosis. Methods The sonographic images and the misdiagnosis reasons of 10 liver echinococcosis cases were analysed, including differential diagnosis of space- occupying lesions of liver with Ultrasound imaging. Results The 10 cases of liver hydatid disease proved by pathology misdiagnosed as liver teratoma in 2 cases,as hepatic adenoma in 1 case,as liver cancer in 2 cases,as liver cyst with infection in 2 cases,as hepatic cyst 1 case,as liver cystadenoma in 2 cases. Nine cases are in inactive phase,only 1 case is in active phase of liver echinococcosis. Conclusion The main causes of the misdiagnosis of liver echinococcosis are the atypical ultrasonic images and the inland ultrasonic doctors lacking adequate diagnostic experience of liver hydatid disease.
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