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多房棘球蚴病是使人致命的蠕虫病之一。由于不易确诊,确诊时病变已广泛发展和转移,以致无法手术,可手术切除的病例只占20～40%,不可手术的病人中,90%在10年内死亡。据报导在日本早期病例通过手术多可治愈,但所有无法手术的晚期病例都死亡。在阿拉斯加,为了早期发现病人,用血清学过筛的早期诊断方法已应用多年,1980年在33人中确诊了8例。方法是以细粒棘球蚴囊液抗原进行间接血凝试验(IHA)及弧5双扩散过筛试验,认为此种抗原比多房棘球蚴的更为有效。阿拉斯加的临床经验表明,94%的病人血清与细粒棘球蚴抗原起反应,但作者发现某些多房棘球蚴病人血清只与纯
Multiple room hydatid disease is one of the deadly worm diseases. Since it is not easy to diagnose, the lesions have been extensively developed and metastasized at the time of diagnosis. As a result, 20% to 40% of the cases can not be surgically removed and 90% of the inoperable patients have died within 10 years. Early cases in Japan are reportedly more curable with surgery, but all of the later cases of inoperable deaths. In Alaska, an early diagnosis of serological screening has been used for many years in early detection of patients, and in 1980, 8 of 33 were diagnosed. The method is based on indirect hemagglutination test (IHA) and arc 5 double diffusion sieve test of Echinococcus granulosus antigen, which is considered to be more effective than Echinococcus multilocularis. Alaskan clinical experience shows that 94% of the patient serum reacted with the Echinococcus granulosus antigen, but the authors found that certain polyclinic echinococcosis patients only seroconverted with pure