Yilmaz E, Gökok N
Department of Surgery, Gazi University Faculty of Medicine, Ankara, Turkey.
Br J Clin Pract. 1990 Dec;44(12):612-5.
We present our experiences with 44 cases of hydatid disease of the liver. Two-thirds were females, and the average age was 44. The most common symptom was abdominal pain (63.6%), and the most common sign was abdominal mass (48%). Eosinophilia, positive Weinberg and Cassoni tests, ultrasonography and CT scanning were the major tools for diagnosis. There were 67 cysts, 49 (73%) located at the right lobe, 18 (27%) located at the left lobe. Twelve (18%) were complicated. The most common complication was intrabiliary rupture. After evacuation of the cyst, we managed the cyst cavity with one or more of the following procedures: omentoplasty, tube drainage, capitonnage, partial cystectomy, cystectomy and scolicidal agent injection. Infected cases were drained, and choledochotomy and internal or external drainage were performed for intrabiliary ruptured cases. Tube drainage and omentoplasty did not increase mortality. Average hospital stay was 11 days. There was no operative mortality.
我们介绍了44例肝包虫病的治疗经验。其中三分之二为女性，平均年龄44岁。最常见的症状是腹痛（63.6%），最常见的体征是腹部肿块（48%）。嗜酸性粒细胞增多、温伯格试验和卡索尼试验阳性、超声检查及CT扫描是主要的诊断手段。共有67个囊肿，49个（73%）位于右叶，18个（27%）位于左叶。12个（18%）出现并发症。最常见的并发症是囊内破裂。囊肿排空后，我们采用以下一种或多种方法处理囊腔：大网膜成形术、置管引流、囊腔缝合、部分囊肿切除术、囊肿切除术及注入杀头节剂。感染病例进行引流，对囊内破裂病例行胆总管切开术及内引流或外引流。置管引流和大网膜成形术未增加死亡率。平均住院时间为11天。无手术死亡病例。
