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[儿童包虫病复发——临床与流行病学研究]

[Hydatidosis relapse in children--clinical and epidemiological study].

作者信息

Constantin Corina, Rădulescu Simona, Creţu Carmen-Michaela

机构信息

Spitalul Clinic Colentina, Secţia de Boli Parazitare.

出版信息

Bacteriol Virusol Parazitol Epidemiol. 2008 Apr-Jun;53(2):109-16.

Abstract

This study is a retrospective inquiry among children operated for hydatid cyst which were diagnosed with at least one relapse episode. The study-group consisted of 160 children out of which 110 were submitted to at least one surgical procedure and 35 out of 110O presented hydatidosis relapses. The post-operative monitorization of children with hydatidosis must be extended over a 2-year-period (69.29%) time during which most of the relapses occur. The organs being most frequently affected are primary the liver and secondary the lung. The secondary hydatidosis is more frequent "at distance" from the residual cavity than "in situ". The parasitic control is centered on the imagistic test: abdominal ultrasound, lungradiography and the serological surveillance of specific antibodies of IgG class which can remain positive during the whole life with decreasing titers in time. The antiparasitic treatment pre- and post- operative can complete the therapeutic schedule in the case of hydatidosis in order to assure the recovery.

摘要

本研究是对患有包虫囊肿且被诊断至少有一次复发的儿童进行的回顾性调查。研究组由160名儿童组成,其中110名接受了至少一次外科手术,110名中有35名出现包虫病复发。对包虫病患儿的术后监测必须延长至2年(69.29%),在此期间大多数复发会发生。最常受影响的器官首先是肝脏,其次是肺。继发性包虫病在远离残余腔处比在原位更常见。寄生虫控制以影像学检查为中心:腹部超声、肺部X线摄影以及对IgG类特异性抗体的血清学监测,这些抗体在一生中可能一直呈阳性,但滴度会随时间下降。术前和术后的抗寄生虫治疗可完善包虫病的治疗方案,以确保康复。

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