[Clinical study of liver alveolar hydatid disease]

113 patients with liver alveolar hydatid disease confirmed by laparotomy were analyzed. The patients were found in epidemic areas; this factor was considered in the diagnosis of the disease. Digestive tract symptoms and right epigastric mass, usually as firm as a stone, were the commonly seen clinical features. Many patients suffered from light anemia and hepatosis. Casoni test and PPA-ELISA were positive in 85.84% and 100% of the patients respectively. B-ultrasonography was most useful diagnostic means with characteristic wave shape and figure, and the diagnosis was confirmed by laparotomy in 93.18% of the patients. Most lesions were single large-well-circumscribed masses (53.93%); nodular lesions and mixed type lesions were found in 29.2% and 16.81% of the patients respectively. Radical resection was performed in 20 patients (17.7%), 85% of the patients were cured. Symptoms were relieved in 75% of the late-stage patients undergoing tumor excavation and drainage plus pharmacotherapy. Patients treated by albendazole, medicinal herbs, or both showed similar effective rates of 86.37%, 90%, and 88.23%, respectively (P greater than 0.05).