Keskin E, Okur H, Zorludemir U, Olcay I, Ertaskin I
Service de Chirurgie Infantile, CHU de Cukurova, Tip Fakültesi, Adana, Turquie.
J Chir (Paris). 1991 Jan;128(1):42-4.
84 cases of hydatid cysts in children are reported. Presenting sings were non-specific in more than 1/2 the children. Pulmonary localisation predominated and the chest X-ray alone gave the diagnosis in 47 cases with pulmonary cysts. Several organs were involved in 17 cases. Abdominal ultrasound was routinely performed for pulmonary presentations. CT scan was reserved for parenchymal lesions in order to quantify the exact number of cysts present. 107 procedures were performed. In the majority of cases conservative surgery was involved; endocystectomy for pulmonary cysts and partial cystectomy with capitonnage for abdominal cysts. Mebendazole treatment was not considered to be an alternative to surgical treatment and was only used in specific cases.
报告了84例儿童包虫囊肿病例。超过半数儿童的临床表现无特异性。以肺部受累为主,仅胸部X线检查就确诊了47例肺囊肿病例。17例累及多个器官。对于肺部表现常规进行腹部超声检查。CT扫描用于实质性病变,以确定囊肿的确切数量。共进行了107例手术。大多数病例采用保守手术;肺囊肿行内囊摘除术,腹部囊肿行部分囊肿切除术并缝合。甲苯达唑治疗不被视为手术治疗的替代方法,仅在特定病例中使用。