Moradi Maryam, Rampisheh Zahra, Roozbehani Mona, Razmjou Elham
Department of Parasitology and Mycology, School of Medicine, International Campus, Iran University of Medical Sciences, Tehran, Iran.
Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Heliyon. 2019 Jun 11;5(6):e01897. doi: 10.1016/j.heliyon.2019.e01897. eCollection 2019 Jun.
Hydatid cyst, caused by larval stages of is a zoonotic parasitic disease with public health importance. The disease is cosmopolitan and endemic in Iran. We conducted a retrospective study of the records of Milad Hospital, Tehran, Iran to establish the proportion of lung and liver surgical procedures that were performed for removal of hydatid cyst and to investigate the demography of the population undergoing lung and liver hydatid cyst surgery in this hospital. A retrospective cross-sectional study was conducted of records of 682 patients who underwent liver (n = 404) or lung (n = 278) surgery from April 2009 to March 2013. In 404 liver surgeries, 111 (27.5%) diagnoses of hydatid cyst were verified. Liver hydatid infection demonstrated a significant age-related difference (p < 0.05). Cysts were found in 64 of 217 females (29.5%) and 47 of 187 males (25.1%). While in both sexes, more cysts were found in liver, the liver/lung ratio in females was significantly higher than in males (p < 0.001). Hydatid cyst was verified in 59 (21.2%) of 278 lung surgeries: 27 of 105 females (25.7%) and 32 of 173 males (18.5%). There was a significant relationship between sex and organ site (p < 0.001) with the proportion of hydatid cysts in males occurring in lung higher than seen in females. In the five investigated years, approximately 25% of liver and lung surgeries conducted at Milad Hospital were related to hydatidosis. Increasing public awareness of principles of avoiding infection could reduce the risk of nearly a quarter of liver and lung surgeries and costs associated with the treatment of hydatid cysts.
包虫囊肿是由细粒棘球绦虫幼虫阶段引起的一种具有公共卫生重要性的人畜共患寄生虫病。该病在全球范围内均有发生，在伊朗呈地方性流行。我们对伊朗德黑兰米拉德医院的记录进行了一项回顾性研究，以确定因切除包虫囊肿而进行的肺和肝外科手术的比例，并调查该医院接受肺和肝包虫囊肿手术的人群的人口统计学特征。对2009年4月至2013年3月期间接受肝脏手术（n = 404）或肺部手术（n = 278）的682例患者的记录进行了回顾性横断面研究。在404例肝脏手术中，有111例（27.5%）被确诊为包虫囊肿。肝包虫感染显示出与年龄相关的显著差异（p < 0.05）。在217名女性中有64例（29.5%）发现囊肿，在187名男性中有47例（25.1%）发现囊肿。虽然在两性中肝脏发现的囊肿更多，但女性的肝/肺比例显著高于男性（p < 0.001）。在278例肺部手术中有59例（21.2%）被确诊为包虫囊肿：105名女性中有27例（25.7%），173名男性中有32例（18.5%）。性别与器官部位之间存在显著关系（p < 0.001），男性包虫囊肿在肺部出现的比例高于女性。在调查的五年中，米拉德医院进行的肝脏和肺部手术中约25%与包虫病有关。提高公众对避免感染原则的认识可以降低近四分之一的肝脏和肺部手术风险以及与包虫囊肿治疗相关的成本。
