Sciarrino E, Virdone R, Lo Iacono O, Fusco G, Ricca T, Cottone M, Maringhini A, Della Monica A
Divisione di Medicina Interna, Ospedale V. Cervello, Palermo, Italy.
J Clin Ultrasound. 1991 Mar-Apr;19(3):143-8. doi: 10.1002/jcu.1870190304.
Fifty patients with 81 abdominal hydatid cysts were followed with ultrasound during and after treatment with albendazole. In 61 cysts (75%), regressive changes were observed after treatment. Detachment of the membrane and change to a solid pattern in anechoic cysts were observed. Disappearance of septa or change to a solid pattern in anechoic cysts with intracystic septation were also found. There was an increase of hyperechoic structures in cysts with a mixed pattern. Follow-up ultrasound examination showed disappearance of 7 cysts, while anechoic structures reappeared in five cases. In anechoic cysts, regressive changes due to albendazole seem to be permanent, but in cysts with a mixed pattern recurrences are sometimes observed.
50例患有81个腹部包虫囊肿的患者在接受阿苯达唑治疗期间及治疗后接受超声随访。在61个囊肿（75%）中，治疗后观察到退行性变化。观察到膜的分离以及无回声囊肿转变为实性形态。还发现有囊内分隔的无回声囊肿中分隔消失或转变为实性形态。混合性囊肿中高回声结构增多。超声随访检查显示7个囊肿消失，而5例无回声结构再次出现。在无回声囊肿中，阿苯达唑引起的退行性变化似乎是永久性的，但在混合性囊肿中有时会观察到复发。
