Peng Shun-zhou, Xu Qun-hong, Zhou Zhi-de
Department of Surgery, 41 Hospital of People's Liberation Army, Shannan 856100, Tibet, China.
Di Yi Jun Yi Da Xue Xue Bao. 2004 Nov;24(11):1333-4.
To evaluate the efficacy of cyst puncture aspiration in treating abdominal echinococcosis.
A retrospective analysis was performed in 40 cases of abdominal echinococcosis with formation of isolated single cyst in close adhesion with the abdominal wall, for which cyst puncture aspiration was carried out under ultrasound guidance.
No death occurred in these patients and only 15 developed mild fever. The days for antibiotic use, jaundice resolution, bile secretion, time of extubation and hospital stay were 2.88+/-0.65, 3.50+/-0.71, 4.25+/-0.96, 5.38+/-0.98 and 9.35+/-1.08 days, respectively. Ultrasound examination in the follow-up showed no relapse in these patients, with the time of the residue adhesive cyst closure and calcification of 4.50+/-1.13 and 13.90+/-2.38 months, respectively.
Cyst puncture aspiration under ultrasound guidance produces good therapeutic effects on abdominal echinococcosis with isolated single cyst closely adhering to the abdominal wall.
评估囊肿穿刺抽吸术治疗腹部包虫病的疗效。
对40例腹部包虫病患者进行回顾性分析，这些患者均形成了与腹壁紧密粘连的孤立单囊肿，并在超声引导下进行囊肿穿刺抽吸术。
这些患者均未死亡，仅15例出现低热。抗生素使用天数、黄疸消退天数、胆汁分泌天数、拔管时间和住院时间分别为2.88±0.65天、3.50±0.71天、4.25±0.96天、5.38±0.98天和9.35±1.08天。随访超声检查显示这些患者无复发，残留粘连囊肿闭合时间和钙化时间分别为4.50±1.13个月和13.90±2.38个月。
超声引导下囊肿穿刺抽吸术对与腹壁紧密粘连的孤立单囊肿型腹部包虫病具有良好的治疗效果。
