Usmanov N U, Garipov M K
Grud Serdechnososudistaia Khir. 1991 Aug(8):53-6.
The authors analyse treatment of 326 patients with hydatid disease of the lungs. Complications were found in 112 (34.3%) of them. Broncho-fibroscopy was included in the complex of therapeutic measures in rupture of the cyst into the bronchus, and pleural puncture, therapeutico-diagnostic thoracoscopy and drainage of the pleural cavity in rupture into the pleural cavity. Temporary occlusion of the draining bronchus with Fogarty's catheter was conducted to prevent intraoperative aspiration complications. If organ-preserving operations are indicated, preference is given to A. A. Vishnevsky's echinococcectomy with a laser scalpel since the Delbet's method is fraught with the danger of cutting of the sutures due to acute inflammatory changes of the wall with the formation of a residual cavity or an abscess of the lung. A differentiated approach to preoperative management and the choice of the operative techniques reduced the incidence of postoperative complications and reduced mortality in complicated hydatid disease of the lungs to 0.9%.
作者分析了326例肺包虫病患者的治疗情况。其中112例（34.3%）出现了并发症。当囊肿破入支气管时，支气管纤维镜检查被纳入综合治疗措施；当囊肿破入胸腔时，则采用胸腔穿刺、治疗性诊断性胸腔镜检查及胸腔引流。为防止术中误吸并发症，用Fogarty导管对引流支气管进行临时封堵。如果需要进行保留器官的手术，优先选择使用激光手术刀的A. A. 维什涅夫斯基包虫切除术，因为德尔贝法存在因壁层急性炎症改变、形成残余腔或肺脓肿而导致缝线切断的风险。对术前管理采取差异化方法并选择手术技术，降低了术后并发症的发生率，并将复杂肺包虫病的死亡率降至0.9%。
