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[胸腔镜治疗肺包虫病:一例报告]

[Thoracoscopic treatment of pulmonary hydatidosis: a case report].

作者信息

Chatelain E, Hardy K, Guigay J, Tramond B, Pons F, L'her P, Jancovici R

机构信息

Service de chirurgie thoracique et générale, HIA Percy, France.

出版信息

Rev Pneumol Clin. 2000 Jun;56(3):205-8.

Abstract

Hydatidosis is a ubiquitous parasitic condition observed in a pulmonary localization in 30 to 40% of cases. The hydatid cyst develops slowly and is well tolerated by the host who presents no signs for a long period. Complications include compression, fissuration, rupture, anaphylactic shock or infection after a latency phase of variable duration. Treatment of pulmonary hydatidosis is classically surgical with enucleation of the cyst by cleavage between the adventice and the anhistic membrane via thorachotomy using the Ugon and Barret procedure. Needle aspiration is also possible via thorachotomy or thoracoscopy. Finally resection of the pulmonary parenchyma can be used to excise the hydatic cyst. We describe a thoracoscopic treatment using specific material, in a man with complications due to a voluminous pulmonary hydatid cyst.

摘要

包虫病是一种普遍存在的寄生虫病,30%至40%的病例发生在肺部。包虫囊肿发展缓慢,宿主长期无任何症状,耐受性良好。并发症包括压迫、破裂、过敏反应或在不同潜伏期后的感染。肺包虫病的经典治疗方法是手术,通过开胸手术采用乌贡和巴雷特手术,在包虫囊外膜和无结构膜之间进行分离,摘除囊肿。也可通过开胸手术或胸腔镜进行穿刺抽吸。最后,可采用肺实质切除术切除包虫囊肿。我们描述了一名因巨大肺包虫囊肿出现并发症的男性患者,使用特定材料进行胸腔镜治疗的情况。

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