Haberal Miktat Arif, Akar Erkan, Dikis Ozlem Sengoren, Kaya Mete
Health Sciences University, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Thoracic Surgery, Bursa, Turkey.
Health Sciences University, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Pulmonary Diseases, Bursa, Turkey.
Tanaffos. 2018 Oct;17(4):280-284.
Hydatid cyst disease is caused by the parasite and it is an important health problem in the childhood period. In the present study, we aimed to report our experience in 25 surgically managed pediatric hydatid cyst cases under the light of the relevant literature.
We retrospectively analyzed 25 patients below 15 years of age who were treated for pulmonary hydatid cyst at our clinic between 2005 and 2016. The patients were analyzed for age, sex, signs and symptoms, diagnostic methods, cyst localization, diameter, number, treatment modalities, mortality, morbidity, and recurrences.
Of the 25 patients included in this clinical study, 16 were male and their mean age was 10.5 (range 5-15) years. The most common presenting symptom was paroxysmal cough which affected 18 patients. The cysts were located in lungs in 23 patients and lungs and liver in 2 patients. Nineteen pulmonary cysts were solitary, and 21 (66%) were in the lower lobe. Thirteen (52%) patients had perforated cysts. Fourteen (56%) patients were operated with cystotomy and capitonnage, 9 (36%) with cystotomy, and 2 (8%) with enucleation. No case of recurrence was observed during an average 12 (range 8-18) months of follow-up.
Surgery is the primary treatment of pediatric pulmonary hydatid cyst disease. Cystotomy and capitonnage is the most commonly used parenchyma sparing technique.
包虫囊肿病由寄生虫引起，是儿童期一个重要的健康问题。在本研究中，我们旨在根据相关文献报告我们对25例接受手术治疗的小儿包虫囊肿病例的经验。
我们回顾性分析了2005年至2016年间在我们诊所接受肺包虫囊肿治疗的25例15岁以下患者。对患者的年龄、性别、体征和症状、诊断方法、囊肿定位、直径、数量、治疗方式、死亡率、发病率和复发情况进行了分析。
本临床研究纳入的25例患者中，16例为男性，平均年龄为10.5岁（范围5 - 15岁）。最常见的症状是阵发性咳嗽，18例患者受此影响。23例患者的囊肿位于肺部，2例患者的囊肿位于肺和肝脏。19个肺囊肿为单发，21个（66%）位于下叶。13例（52%）患者的囊肿已穿孔。14例（56%）患者接受了囊肿切开及内翻缝合术，9例（36%）接受了囊肿切开术，2例（8%）接受了摘除术。在平均12个月（范围8 - 18个月）的随访期间未观察到复发病例。
手术是小儿肺包虫囊肿病的主要治疗方法。囊肿切开及内翻缝合术是最常用的保留实质组织的技术。
