Gonlugur U, Ozcelik S, Gonlugur T E, Arici S, Celiksoz A, Elagoz S, Cevit R
Department of Chest Diseases, Canakkale Onsekiz Mart University Medical School, Canakkale, Turkey.
Zoonoses Public Health. 2009 Jun;56(5):209-14. doi: 10.1111/j.1863-2378.2008.01186.x.
Cystic echinococcosis is an important public health problem in our region. The aim of this study was to assess the surgical incidence of cystic echinococcosis in Sivas, Turkey. A retrospective follow-up study was carried out between 1997 and 2004. The mean age of 124 men (39.2%) and 192 women was 36.4 years. The liver was the primary site of cyst development (76.6%), followed by the lungs (19.9%), the spleen (5.4%), the kidneys (3.5%) and the peritoneal cavity (3.2%). Mean annual surgical incidence was 6.4 per 100,000 inhabitants for a 7-year period. The most common site of recurrence was the liver. Hepatic cysts were more frequently infected than pulmonary cysts (P < 0.05). In those patients with an infected cyst, the mean circulating eosinophil level was significantly lower than in those without. Rupture and infection were more common in men (P < 0.01). In conclusion, serious structural, legislative, surveillance, prevention and control measures for echinooccus should be undertaken in our region.
囊性棘球蚴病是我们地区一个重要的公共卫生问题。本研究的目的是评估土耳其锡瓦斯囊性棘球蚴病的外科发病率。1997年至2004年进行了一项回顾性随访研究。124名男性（39.2%）和192名女性的平均年龄为36.4岁。肝脏是囊肿形成的主要部位（76.6%），其次是肺（19.9%）、脾（5.4%）、肾（3.5%）和腹腔（3.2%）。7年期间的年平均外科发病率为每10万居民6.4例。最常见的复发部位是肝脏。肝囊肿比肺囊肿更容易感染（P < 0.05）。在那些囊肿感染的患者中，平均循环嗜酸性粒细胞水平明显低于未感染的患者。破裂和感染在男性中更常见（P < 0.01）。总之，我们地区应针对棘球蚴采取严格的结构、立法、监测、预防和控制措施。
