Thameur H, Chenik S, Abdelmoulah S, Bey M, Hachicha S, Chemingui M, Mestiri T, Chaouch H
Service de chirurgie Thoracique et Cardio-Vasculaire, Hôpital Militaire de Tunis, 1008 Montfleury, Tunis, Tunisie.
Rev Pneumol Clin. 2000 Feb;56(1):7-15.
We analyzed the cases of 1619 patients who underwent surgery for hydatidosis in a chest localization to present a review of this parasitosis, endemic in Southern Mediterranean countries. A lung localization was observed in 1527 patients (94.6%). Extrapulmonary localizations were less common (5.62%) and included 42 heart cysts, 21 primary pleural cysts, 13 diaphragm cysts, 8 mediastinum cysts and 8 ribs cysts. For pulmonary cysts the sex ratio was 1: 1 (51.46% men, 48.85% women). Mean age was 24 years. A context of hydatid exposure was present in 81.8% of cases. The diagnosis was established on the basis of associated functional signs and an opacity with regular borders on the chest x-ray. Surgical treatment was simple cystecomy in 85.9% of the cases and lung resection in 14. 1%. Operative mortality was 0.785%. Pleuropulmonary recurrence was observed in 21 patients. Thoracic and pulmonary hydatidosis is easily diagnosed and treatment is well defined. It remains however a major challenge for health care with an important social and economic impact. Prevention can only be achieved by carefully designed actions against parasite transmission.
我们分析了1619例在胸部定位进行包虫病手术的患者病例，以对这种在地中海南部国家流行的寄生虫病进行综述。1527例患者（94.6%）观察到肺部定位。肺外定位较少见（5.62%），包括42例心脏囊肿、21例原发性胸膜囊肿、13例膈肌囊肿、8例纵隔囊肿和8例肋骨囊肿。对于肺囊肿，男女比例为1:1（男性51.46%，女性48.85%）。平均年龄为24岁。81.8%的病例存在包虫暴露背景。诊断基于相关的功能体征以及胸部X线片上边界规则的不透明区。85.9%的病例手术治疗为单纯囊肿切除术，14.1%为肺切除术。手术死亡率为0.785%。21例患者观察到胸膜肺复发。胸肺包虫病易于诊断且治疗明确。然而，它仍然是医疗保健面临的一项重大挑战，具有重要的社会和经济影响。预防只能通过精心设计的针对寄生虫传播的行动来实现。
