Sastre B, Sielezneff I, Agostini S, Dumon H, Arnaud A
Service de chirurgie digestive et générale, hôpital Sainte-Marguerite, Marseille.
Rev Prat. 1990 Jan 21;40(3):205-13.
Hydatid cyst of the liver is not uncommon in France. Its various symptoms often include pain, but chance discovery is not exceptional. The diagnosis is helped by two paraclinical examinations, ultrasonography and computerized tomography, which have become indispensable as they provide invaluable information on the precise location and anatomical rapports of the cyst and on possible complications. Laboratory tests are useful for the diagnosis and post-operative follow-up of these cysts. For the time being at least, treatment is purely surgical. Percutaneous needle aspiration and drainage have not yet proved to be totally innocuous, and medicinal treatments seem to be helpful only in cases with intraperitoneal rupture. The choice of the operative technique--essentially a more or less complete cystectomy--has an impact on surgical results: the operative mortality is usually low (2 to 5 p. 100), but the morbidity, mainly due to biliary tract complications of the cysts, remains as high as 30 p. 100.
肝包虫囊肿在法国并不罕见。其各种症状常包括疼痛，但偶然发现的情况也并不少见。两种辅助临床检查有助于诊断，即超声检查和计算机断层扫描，它们已变得不可或缺，因为它们能提供有关囊肿的精确位置、解剖关系以及可能并发症的宝贵信息。实验室检查对这些囊肿的诊断和术后随访很有用。至少目前，治疗完全是手术性的。经皮穿刺抽吸和引流尚未被证明完全无害，药物治疗似乎仅对腹腔内破裂的病例有帮助。手术技术的选择——本质上是或多或少的完全囊肿切除术——会影响手术结果：手术死亡率通常较低（2%至5%），但发病率，主要由于囊肿的胆道并发症，仍高达30%。
