Arslan Serdar, Bakdik Suleyman, Oncu Fatih, Tolu Ismet, Eryilmaz Mehmet Ali
Department of Radiology, Konya Training and Research Hospital, Haci Saban Mah. Meram Yeniyol Caddesi No: 97 Meram, 42090, Konya, Turkey.
Department of General Surgery, Konya Training and Research Hospital, Haci Saban Mah. Meram Yeniyol Caddesi No: 97 Meram, 42090, Konya, Turkey.
Jpn J Radiol. 2017 Jun;35(6):296-302. doi: 10.1007/s11604-017-0633-z. Epub 2017 Mar 9.
To demonstrate the successful percutaneous treatment of extrahepatic cystic echinococcosis as an alternative to surgical procedures.
A total of 27 extrahepatic hydatid cysts in 12 patients, the spleen in 8 patients, muscles and soft tissues in 3 patients each and right adrenal gland in 1 patient were treated with PAIR (puncture, aspiration, injection, respiration) or single puncture catheterization methods. As a scolicidal and sclerosing agent, alcohol was used in all patients.
Of 27 extrahepatic lesions of hydatid cysts, 24 (88.9%) were Gharbi type 1 (WHO CE 1), and 3 (11.1%) were Gharbi type 2 (WHO CE 3A). Of hydatid cystic lesions, 20 with PAIR and 7 with single puncture catheterization methods were treated. No major complications developed in any patients. Abscesses were detected in two patients (16.6%). Mean total hospital stay was calculated between 1 and 14 days (mean 2.3 days). Follow-up periods ranged between 10 and 62 months (mean 22.3 months).
Percutaneous treatment for extrahepatic hydatid cystic lesions is an important alternative to surgical procedures because of the high therapeutic success rate, lower rate of complications and shorter hospital stays.
证明经皮治疗肝外囊性包虫病作为手术治疗替代方法的成功性。
12例患者共27个肝外包虫囊肿，其中8例位于脾脏，3例位于肌肉和软组织，1例位于右肾上腺，采用PAIR（穿刺、抽吸、注射、再抽吸）或单穿刺置管法进行治疗。所有患者均使用酒精作为杀头节剂和硬化剂。
27个肝外包虫囊肿病变中，24个（88.9%）为加尔比1型（世界卫生组织CE 1），3个（11.1%）为加尔比2型（世界卫生组织CE 3A）。对20个包虫囊肿病变采用PAIR法治疗，7个采用单穿刺置管法治疗。所有患者均未发生严重并发症。2例患者（16.6%）检测到脓肿。平均住院总天数为1至14天（平均2.3天）。随访期为10至62个月（平均22.3个月）。
经皮治疗肝外包虫囊肿病变是手术治疗的重要替代方法，因为其治疗成功率高、并发症发生率低且住院时间短。
