纵隔包虫囊肿。

Mediastinal hydatid cyst.

机构信息

Department of Thoracic Surgery, Mohammed V Military University Hospital, Rabat, Morocco.

出版信息

J Chin Med Assoc. 2010 Jan;73(1):3-7. doi: 10.1016/s1726-4901(10)70014-9.

DOI:10.1016/s1726-4901(10)70014-9

PMID:20103484

Abstract

BACKGROUND

The objective of this study was to report our experience in the management of hydatid cysts of the mediastinum.

METHODS

Among 206 patients who underwent surgery in our department for intrathoracic hydatid cysts between September 2001 and September 2008, 7 patients (3.4%) aged 24 to 49 years (mean, 36.2 years) had mediastinal hydatid cysts. Imaging consisted of chest X-ray and computed tomography. Surgical approach was by posterolateral thoracotomy in all cases.

RESULTS

The cyst was located in the posterior mediastinum in 3 cases (42.8%), in the anterior mediastinum in 2 cases (28.5%) and in the middle mediastinum in 2 cases (28.5%). Two patients had cysts in other thoracic locations (diaphragm, pleural). All cysts were intact. Surgical approach was right thoracotomy in 5 patients (71.4%) and left thoracotomy in 2 patients (28.5%). In 5 cases, a small part of the cyst wall intimately adherent to vital structures was left in place. There were no postoperative complications or mortality.

CONCLUSION

Mediastinal hydatid cyst is an uncommon disease. Because of the surrounding vital structures, the cyst should be removed immediately. Surgical removal remains the treatment of choice for mediastinal echinococcosis, without extensive resection when progression of dissection is impossible or dangerous.

摘要

背景

本研究旨在报告我们在纵隔包虫囊肿治疗方面的经验。

方法

在 2001 年 9 月至 2008 年 9 月期间，我们科室对 206 例胸腔内包虫囊肿患者进行了手术，其中 7 例（3.4%）年龄为 24 至 49 岁（平均 36.2 岁），患有纵隔包虫囊肿。影像学检查包括胸部 X 线和计算机断层扫描。所有病例均采用后外侧开胸术。

结果

囊肿位于后纵隔 3 例（42.8%），前纵隔 2 例（28.5%），中纵隔 2 例（28.5%）。2 例患者的囊肿位于其他胸腔部位（膈肌、胸膜）。所有囊肿均完整。5 例采用右侧开胸术（71.4%），2 例采用左侧开胸术（28.5%）。5 例患者保留了与重要结构紧密粘连的一小部分囊壁。术后无并发症或死亡。