Cystic Echinococcosis of the Liver: Correlation Between Intra-Operative Ultrasound and Pre-Operative Imaging

医学 超声波 放射科 前瞻性队列研究 计算机断层摄影术 包虫病 外科
作者
Ayman Trigui,Nozha Toumi,Sami Fendri,Mohammad Saad Saumtally,Imen Zribi,Amira Akrout,Rafik Mzali,Salma Ketata,Chadli Dziri,Mohamed Ben Amar,Salah Boujelbène
出处
期刊:Surgical Infections [Mary Ann Liebert, Inc.]
卷期号:25 (3): 213-220
标识
DOI:10.1089/sur.2023.335
摘要

Background: Imaging plays an essential role in the management of hepatic hydatid cysts (HCE). The objective of our study was to determine the correlation between pre-operative ultrasound, computed tomography (CT), and intra-operative ultrasound (IOUS) in studying the characteristics and complications of HCE. Patients and Methods: This was a prospective, descriptive, and analytical study conducted in the General Surgery Department of Habib Bourguiba Hospital in Sfax. The study included patients with HCE who underwent conservative surgery between April 2017 and June 2022. Results: We enrolled 49 patients with 94 cysts. At the end of our study, IOUS allowed for better detection of HCE (98.8%) regardless of the number of cysts per patient. IOUS and CT were accurate in studying the location of cysts (κ = 1), whereas pre-operative abdominal ultrasound was less efficient (κ = 0.870). IOUS was the best examination for detecting exocysts (κ = 0.961), studying daughter cysts (κ = 0.823), and exploring vascular relations, but it was less effective (κ = 0.523) in detecting calcifications. Regarding classifications, ultrasound and CT had similar results. However, IOUS was most reliable in differentiating between CE3b and CE4 types (κ = 0.653). Ultrasound, CT, and IOUS were not sensitive in detecting latent HCE suppurations and cystobiliary fistulas. Conclusions: Performing IOUS is essential to prevent recurrences and reduce post-operative morbidity.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
浪麻麻完成签到 ,获得积分10
3秒前
包容的剑完成签到 ,获得积分10
7秒前
等待的大炮完成签到,获得积分10
7秒前
注水萝卜完成签到 ,获得积分10
9秒前
Chem34完成签到,获得积分10
17秒前
19秒前
量子星尘发布了新的文献求助10
19秒前
hhh2018687完成签到,获得积分10
19秒前
19秒前
20秒前
20秒前
20秒前
20秒前
21秒前
21秒前
21秒前
21秒前
21秒前
21秒前
21秒前
嘒彼小星完成签到 ,获得积分10
21秒前
21秒前
22秒前
22秒前
22秒前
22秒前
23秒前
ri_290完成签到,获得积分10
23秒前
24秒前
nsc发布了新的文献求助30
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
nsc发布了新的文献求助10
26秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038039
求助须知:如何正确求助?哪些是违规求助? 3575756
关于积分的说明 11373782
捐赠科研通 3305574
什么是DOI,文献DOI怎么找? 1819239
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022