Fallah Nazanin, Rahmati Khadijeh, Fallah Mohammad
Dept. of Anesthesiology, School of Medicine, Besat Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
Dept. of Parasitology and Mycology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Iran J Parasitol. 2017 Jul-Sep;12(3):453-460.
The reservoir and intermediate hosts of and human hydatidosis are more prevalent in the Alborz and Zagros Mountains slop due to rich pastures for sheep raising. Many cases of hydatid cysts operate in local hospitals annually. The present study aimed to review the epidemiologic characteristics of the hydatidosis patients.
In this descriptive study, the medical files of 182 hydatidosis patients from main public and private hospitals in Hamadan Province, western Iran from 2006 to 2013 were reviewed. The data collected from eight general hospitals including demographic data, clinical and diagnostic measures, surgical approaches, and outcome were entered into the prepared checklist and analyzed by descriptive statistics.
All patients were diagnosed and operated giving an average of 26 cases per year, or 1.5 cases per 100000 inhabitants. The site of cysts was as follows: liver 70.9%, lung 24.7%, and in both these organs 2.2%. The ratio of male and female patients was approximately 1:1. Mean age of patients was 44.5±21.5 yr at range of 3 to 91 yr. The majority the patients were illiterate (32.2%) and resided in the rural areas (61.7%), and their occupations were housewives (36.8%). Almost 90% of patients diagnosed by imaging methods and 8% had history of surgery for cyst.
Hydatidosis is a major health problem still in this region and more extensive epidemiological investigations of CE is necessary to better determine the prevalence, economic impact and risk factors for the disease control.
由于利于养羊的牧场丰富,细粒棘球绦虫和人类包虫病的储存宿主及中间宿主在阿尔伯兹山脉和扎格罗斯山脉山坡更为普遍。当地医院每年都有许多例包虫囊肿手术。本研究旨在回顾包虫病患者的流行病学特征。
在这项描述性研究中,回顾了2006年至2013年伊朗西部哈马丹省主要公立和私立医院182例包虫病患者的病历。从八家综合医院收集的数据,包括人口统计学数据、临床和诊断措施、手术方法及结果,录入编制好的检查表,并采用描述性统计进行分析。
所有患者均被诊断并接受手术,平均每年26例,即每10万居民中有1.5例。囊肿部位如下:肝脏70.9%,肺24.7%,两个器官均有2.2%。男女患者比例约为1:1。患者平均年龄为44.5±21.5岁,年龄范围为3至91岁。大多数患者为文盲(32.2%),居住在农村地区(61.7%),职业为家庭主妇(36.8%)。几乎90%的患者通过影像学方法诊断,8%有囊肿手术史。
包虫病在该地区仍是一个主要的健康问题,需要对囊型包虫病进行更广泛的流行病学调查,以更好地确定该疾病的患病率、经济影响及控制危险因素。