Jerray M, Benzarti M, Garrouche A, Klabi N, Hayouni A
Pulmonary Disease Department, University Hospital, Sousse, Tunisia.
Am Rev Respir Dis. 1992 Jul;146(1):185-9. doi: 10.1164/ajrccm/146.1.185.
During a 10-yr period, 386 patients with hydatid disease of the lung were treated at our hospital. There were 165 male and 221 female patients with a mean age of 30.15 + 16.9 yr. There were 286 solitary, 20 multiple, and 21 bilateral cysts. In 59 patients, the cysts included the lung and other organs; in 54, the lung and the liver; in four, the lung and the kidney; in one, the lung and the peritoneum. Diagnosis was made using clinical criteria, serologic findings, and imaging techniques; 373 patients were treated surgically. Surgical procedures consisted of cystectomy in 93 patients, pericystectomy in 166 patients, and lung resection in 114 patients. Mebendazole and flubendazole were used in three patients. Postoperative complications occurred in 44 patients (15.8%). There were two operative deaths (mortality rate, 0.53%). Patients have been followed yearly, with a median follow-up of 6 yr. Active hydatid disease has been found in two patients.
在10年期间,我院共治疗了386例肺包虫病患者。其中男性165例,女性221例,平均年龄30.15±16.9岁。有286个孤立囊肿、20个多发囊肿和21个双侧囊肿。59例患者的囊肿累及肺和其他器官;54例累及肺和肝脏;4例累及肺和肾脏;1例累及肺和腹膜。诊断采用临床标准、血清学检查结果和影像学技术;373例患者接受了手术治疗。手术方式包括93例行囊肿切除术、166例行包囊切除术、114例行肺切除术。3例患者使用了甲苯咪唑和氟苯达唑。44例患者(15.8%)发生术后并发症。有2例手术死亡(死亡率0.53%)。患者每年接受随访,中位随访时间为6年。2例患者发现有活动性包虫病。