Bret P M, Fond A, Bretagnolle M, Valette P J, Thiesse P, Lambert R, Labadie M
Department of Radiology, Montreal General Hospital, Quebec, Canada.
Radiology. 1988 Sep;168(3):617-20. doi: 10.1148/radiology.168.3.3043542.
Percutaneous aspiration of hydatid cysts of the liver was performed in 13 patients, and subsequent percutaneous drainage was performed in three of the 13. Aspiration was performed with ultrasound or computed tomographic guidance with 22-gauge to 19-gauge needles. Analysis of the aspirated specimen established the diagnosis of hydatid cysts in nine of the 13 patients. Fragments of the laminated membrane were seen in seven cases, scolices in two cases, and hooklets in two cases. In the four cases with negative results on aspiration, the diagnosis was established with surgical findings in one case and unequivocal immunologic results in three cases. In two patients, a mild allergic reaction with temporary pruritus was observed. In three patients, percutaneous drainage was performed with a 5-F to 8.3-F catheter, and sterilization of the cyst was achieved by injection of a scolicidal agent. No complications occurred at the time of drainage, and no recurrences developed during 6 months to 1 year after drainage.
对13例肝包虫囊肿患者进行了经皮穿刺抽吸，其中13例中的3例随后进行了经皮引流。在超声或计算机断层扫描引导下，使用22号至19号针进行抽吸。对抽吸标本的分析确诊了13例患者中的9例为肝包虫囊肿。7例可见分层膜碎片，2例可见头节，2例可见小钩。在4例抽吸结果为阴性的病例中，1例通过手术结果确诊，3例通过明确的免疫结果确诊。2例患者出现轻度过敏反应，伴有短暂瘙痒。3例患者使用5F至8.3F导管进行经皮引流，并通过注入杀头节剂实现囊肿消毒。引流时未发生并发症，引流后6个月至1年未出现复发。
