[膈下包虫病及其并发症的外科治疗]

[The surgery of diaphragmatic hydatidosis and their complications].

作者信息

Issoufou I, Harmouchi H, Rabiou S, Belliraj L, Ammor F Z, Diarra A S, Lakranbi M, Sani R, Ouadnouni Y, Smahi M

机构信息

Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi-Harazem, 30000 Fès, Maroc.

出版信息

Rev Pneumol Clin. 2017 Oct;73(5):253-257. doi: 10.1016/j.pneumo.2017.07.006. Epub 2017 Oct 18.

DOI:10.1016/j.pneumo.2017.07.006

PMID:29054716

Abstract

Primary or secondary diaphragmatic echinococcosis is rare, accounting for 1% of the thoracic locations. They may be operative discovery or by their complication, hence a variable symptomatology making this localization a particular entity. The thoracic and abdominal CT allows a complete assessment. Surgery remains the only therapeutic approach. In complicated forms an additional surgery is required for complete care. The prognosis is generally good apart from the risk of recurrence. Through a series of 4 operated patients, we focus on the clinical and therapeutic features of this pathology and its complications.

摘要

原发性或继发性膈部包虫病较为罕见，占胸部病变的1%。它们可能通过手术发现，也可能因其并发症而被发现，因此症状多样，使得这种定位成为一个特殊的实体。胸部和腹部CT可进行全面评估。手术仍然是唯一的治疗方法。对于复杂病例，需要额外的手术以实现完全治愈。除了复发风险外，预后通常良好。通过对4例接受手术治疗的患者进行研究，我们重点关注了这种疾病的临床和治疗特点及其并发症。