Nardo Bruno, Patriti Alberto, Piazzese Enrico, Cavallari Giuseppe, Montalti Roberto, Beltempo Paolo, Bertelli Riccardo, Puviani Lorenza, Cavallari Antonino
Department of Surgery and Transplantation, University of Bologna, Italy.
Hepatogastroenterology. 2003 Sep-Oct;50(53):1478-81.
BACKGROUND/AIMS: The treatment of relapsing hydatidosis must aim at the reduction of both morbidity and mortality rates and the risk of new recurrences.
Thirty-three patients with recurrence of hepatic ecchinococcosis were observed between January 1975 and May 2001. All selected patients received a first conservative surgical treatment, and recurrences developed in a period ranging from 1 to 46 years from the therapy. All patients with secondary hydatidosis were then submitted to radical surgical treatment. Ultrasound examinations, the first after 3 months from surgery, were performed to evaluate disease recurrence. Intraoperative morbidity and mortality were also evaluated.
No intraoperative mortality was encountered. Intraoperative and postoperative morbidity were 6% and 12% respectively. During follow-up, (mean duration 53 months) no recurrences were recorded.
Radical surgical approach is the best treatment of recurrent hydatid cysts as it represents a valid compromise between the need of a surgical radicality and a low intraoperative and postoperative morbidity.
背景/目的：复发性包虫病的治疗必须旨在降低发病率和死亡率以及新复发的风险。
在1975年1月至2001年5月期间观察了33例肝包虫病复发患者。所有选定的患者均接受了首次保守性手术治疗，复发发生在治疗后的1至46年期间。然后，所有继发性包虫病患者均接受了根治性手术治疗。术后3个月进行首次超声检查，以评估疾病复发情况。还评估了术中发病率和死亡率。
未发生术中死亡。术中及术后发病率分别为6%和12%。在随访期间（平均持续时间53个月），未记录到复发情况。
根治性手术方法是复发性包虫囊肿的最佳治疗方法，因为它在手术根治性需求与低术中及术后发病率之间达成了有效的平衡。
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