MODERN APPROACHES TO THE DIAGNOSIS AND TREATMENT OF LIVER ECHINOCOCCOSIS
Keywords:
liver echinococcosis, hydatid cyst, Echinococcus granulosus, diagnosis, treatment, PAIR method, albendazole, surgical intervention, WHO classificationAbstract
Liver echinococcosis is a parasitic disease caused by Echinococcus granulosus and Echinococcus multilocularis, posing a significant burden on public health in endemic regions. This study examines modern diagnostic methods, including ultrasonography, MSCT, MRI, and serological testing to detect liver cysts. He also evaluates multimodal treatment strategies such as albendazole medication therapy, percutaneous methods (PAIR), and surgical approaches, emphasizing their effectiveness and safety. A comparative clinical analysis of 145 patients showed the advantages of a step-specific treatment algorithm in reducing complications and relapses. The obtained results contribute to the optimization of treatment strategies for liver echinococcosis based on factual data.
References
Aliyev M. J., Kalibekov T. A., Niyazbekov K. I. The prevalence of echinococcosis and the reasons for its growth (literature review) // Science, new technologies and innovations of Kyrgyzstan. - 2021. – №. 2. - P. 32-37. (in Russ)
Ikramov R. Z. Modern approaches to the treatment of echinococcal cookies // High-tech medicine.- 2020. - Vol. 7. - P. 14-27 (in Russ)
Shevchenko Yu. L. Modern aspects of surgery for complicated liver echinococcosis // Bulletin of the N. I. Pirogov National Medical and Surgical Center. - 2018. - Vol. 13. - P. 29-34. (in Russ)
Shevchenko Yu.L., Nazirov F.G. Surgery of Echinococcosis. - M.: Dynasty Publishing House, 2016. - 288 p. (in Russ)
Brunetti, E., Kern, P., & Vuitton, D.A. (2010). Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Tropica, 114(1), 1–16.
Dziri, C., Haouet, K., & Fingerhut, A. (2004). Treatment of hydatid cyst of the liver: where is the evidence? World Journal of Surgery, 28(8), 731–736.
Eckert, J., & Deplazes, P. (2004). Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clinical Microbiology Reviews, 17(1), 107–135.
Moro, P., & Schantz, P.M. (2009). Echinococcosis: a review. International Journal of Infectious Diseases, 13(2), 125–133.
McManus, D.P., Zhang, W., Li, J., & Bartley, P.B. (2003). Echinococcosis. The Lancet, 362(9392), 1295–1304.
Tuxun, T., Zhang, J.H., Zhao, J.M., Tai, Q.W., Abudurexiti, S., Ma, H.Z., & Wen, H. (2014). World review of laparoscopic treatment of liver hydatid cysts. World Journal of Gastroenterology, 20(37), 13042–13047.