Department of Radiology, School of Medicine, Gevher Nesibe Hospital, University of Erciyes, 38039, Kayseri, Turkey.
Pediatr Radiol. 2011 Jul;41(7):890-4. doi: 10.1007/s00247-011-2088-1. Epub 2011 May 24.
Hydatid disease is a serious public health problem in endemic areas. Percutaneous treatment is an effective alternative to surgical and medical therapy in hydatid liver disease (HLD).
To present clinical and radiological results of percutaneous treatment of HLD in children.
Twenty-five children (16 males; age range, 5-15 years; mean age, 9.6 years) with a total of 30 hydatid cysts of the liver underwent ultrasound US guided percutaneous treatment using hypertonic saline as the scolicidal agent.
The percutaneous procedure was successful in all patients. All children were asymptomatic at follow-up. A hypersensitivity reaction occurred in one child (4%) during the procedure. No other complications occurred. The reduction in cyst volume was 14-100% (mean, 64%) at follow-up (mean 13.8 months). On US at follow-up, the treated cysts were semisolid with a heterogeneous echo pattern (n = 17), solid hypoechoic (n = 10) or solid with calcification (n = 2). One treated cyst disappeared sonographically.
Percutaneous treatment of HLD is effective, safe and well-tolerated in children.
包虫病是流行地区的一个严重公共卫生问题。在肝包虫病（HLD）中，经皮治疗是手术和药物治疗的有效替代方法。
介绍儿童肝包虫病经皮治疗的临床和影像学结果。
25 名儿童（男 16 例；年龄 5-15 岁；平均年龄 9.6 岁），共 30 个肝包虫囊肿，均经超声引导行经皮治疗，使用高渗盐水作为杀囊剂。
所有患者的经皮操作均成功。所有患儿在随访时均无症状。1 名患儿（4%）在操作过程中发生过敏反应。无其他并发症发生。囊肿体积减少率为 14-100%（平均 64%），随访时间为 13.8 个月。在随访时的超声检查中，治疗后的囊肿呈半固体状，回声模式不均匀（17 个）、低回声实性（10 个）或实性伴钙化（2 个）。1 个治疗后的囊肿在超声检查中消失。
经皮治疗儿童肝包虫病是有效、安全和耐受良好的。
