Degenerative necrosis and calcification of hepatic cycstic echinococcosis

/Cong Peng

(叢鵬，1st Affil Hosp，Xinjisng Med Univ，Urumuqi 830054)…∥Chin J Gen Surg.-2011，26(7).-600 ～602

ObjectiveTo study factors associated with necrosis and calcification of cyst echinococcosis.MethodsThis study retrospectively analyzed 191 cases of hepatic cycstic echinococcosis admitted from 2005 to 2008 in the First Affiliated Hospital of Xinjiang Medical University Department of General Surgery，possible relevant factors screened were the patients’gender，age，operation frequency，hepatitis，gall stones，calcium of blood serum，multiple hepatic hydatid cyst，biliary fistulae and hepatic cystic echinococcosis degeneration.Single-factor analysis and multi-factors analysis were conducted.ResultsThe single-factor independent samples t-test showed that age is significantly related to hepatic cystic echinococcosis degeneration(t=-2.455，P=0.008).Single factor Chi-square test showed that factors impacting on hepatic cystic echinococcosis degeneration were multiple hepatic hydatid cyst and the biliary fistulae(x2=6.848，P=0.009;x2=7.149，P=0.008).The multiple-factor Logistic regression analysis showed that the age，the multiple hepatic hydatid cyst，and biliary fistulae are the related risk factors(x2=5.306，P=0.021，OR=1.665;x2=10.377，P=0.001，OR=3.300;x2=4.455，P=0.035，OR=2.164)of hepatic cystic echinococcosis patients with cyst echinococcosis degeneration.ConclusionAge，multiple hepatic hydatid cyst and biliary fistulae are the risk factors associated with degenerative necrosis and calcification of hepatic echinococcosis.10 refs，4 tabs