SHAO Jun 1,2 , WANG Zhixin 1,2 , LI Yanfei 1,2 , Yangdancairang 1,2 , REN Li 1,2 , HOU Lizhao 1,2 , ZHOU Ying 1,2 , WANG Haijiu 1,2 , WANG Hu 1,3 , FAN Haining 1,2
  • 1. Medical College of Qinghai University; Department of Hepatopancreatobiliary Surgery, Affiliated Hospital of Qinghai University; Xining, Qinghai 810001, P. R. China;
  • 2. Qinghai Province Key Laboratory of Hydatid Disease Researsh; Qinghai University Provincial Key Laboratory of Hydatid Disease; Xining, Qinghai 810001, P. R. China;
  • 3. Qinghai Provincial Health and Family Planning Commission, Xining, Qinghai 810001, P. R. China;
WANG Hu, Email: whqhxn@126.com; FAN Haining, Email: fanhaining@medmail.com.cn
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Objective  To analyze the clinical manifestations, diagnosis, treatment and prognosis of bone hydatid disease in China by literature review. Methods  We searched the databases of China National Knowledge Infrastructure and Wanfang for case reports of bone hydatid disease published from 2000 to 2015 in China. Data were extracted by using a standardized form and a retrospective clinical analysis was performed. Results  A total of 21 relevant literatures published from 2000 to 2015 were included, including 87 cases of bone hydatid disease treated from 1975 to 2015. The regional distribution of bone hydatid disease was mainly concentrated in the animal husbandry areas in China. In terms of diagnosis basis, imaging examination was mentioned in 54 cases (62.1%), laboratory examination was mentioned in 32 cases (36.8%), and pathologic examination was mentioned in 8 cases (9.2%), etc. Surgical treatment was the main treatment, and some treatments were combined with chemotherapy. The outcomes of bone hydatid disease were relatively poor. In the 44 cases whose outcomes were reported, 26 cases (59.1%) had recurrence, 18 cases were cured (40.9%), 10 cases (22.7%) underwent re-operation, and 2 cases (4.5%) died. Conclusions  Bone hydatid disease is rare. Surgical treatment is still the main method for treating bone hydatid disease. The rate of recurrence of bone hydatidosis is relatively high, so it is very important to explore new methods for diagnosis and treatment of bone hydatid disease.

Citation: SHAO Jun, WANG Zhixin, LI Yanfei, Yangdancairang, REN Li, HOU Lizhao, ZHOU Ying, WANG Haijiu, WANG Hu, FAN Haining. Literature review of the diagnosis and treatment of bone hydatid disease in China from 1975 to 2015. West China Medical Journal, 2018, 33(9): 1138-1141. doi: 10.7507/1002-0179.201611044 Copy

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