Gurbanaliev I G, Gadzhiev Sh I, Dzhavadov E A
Khirurgiia (Mosk). 1989 Mar(3):73-6.
According to the authors, echinococcosis of the diaphragm accounts for 2.24% of all hydatid lesions of the thoracic and abdominal organs. It is pointed out that preoperative diagnosis of concurrent and secondary echinococcosis of the diaphragm is difficult despite the performance of pneumoperitoneum and scanning of the liver. Ten of 12 patients were operated on for echinococcosis of the liver or right lung. One-staged closed echinococcectomy with removal of the residual cavity is the operation of choice in a single echinococcosis of the diaphragm or uncomplicated concurrent echinococcosis. Excision of the dome together with the cyst is recommended for suppurative echinococcosis and irreversible changes of the diaphragm.
据作者称，膈肌包虫病占胸腹部器官所有包虫病变的2.24%。指出尽管进行了气腹检查和肝脏扫描，但膈肌并发性和继发性包虫病的术前诊断仍很困难。12例患者中有10例因肝或右肺包虫病接受了手术。对于膈肌单发包虫病或无并发症的并发性包虫病，首选一期闭合性包虫切除术并清除残留腔。对于化脓性包虫病和膈肌不可逆改变，建议连同囊肿一起切除膈肌顶部。
