Sullivan M, Delbridge L, Reeve T S, Crummer P
Aust N Z J Surg. 1987 Mar;57(3):177-80. doi: 10.1111/j.1445-2197.1987.tb01330.x.
A study of the results of surgery for hydatid disease was undertaken at Royal North Shore Hospital for the period 1966-83. There were 51 patients who underwent surgery for this disease and follow-up was obtained in all but eight cases. Comparison of cumulative survivals for this group with that of a matched Australian population showed that patients undergoing surgical treatment of their hydatid can anticipate a normal life expectancy. There was no evidence that patients with extrahepatic disease fared any worse than those with disease confined to the liver. Documented recurrence of hydatid disease occurred in eight cases following surgery and only one patient actually died from hydatid disease. This was a case in which spillage occurred at the initial procedure. This paper is presented as a reminder that hydatid disease still occurs with sufficient frequency to pose therapeutic problems for surgeons. Whilst total eradication of the parasite will only occur with enforcement of public health measures, surgery would still appear to be effective therapy for established hydatid disease so long as care is taken to avoid cyst rupture.
1966年至1983年期间，皇家北岸医院对包虫病的手术治疗结果进行了一项研究。有51例患者接受了该病的手术治疗，除8例病例外，其余均获得了随访。将该组患者的累积生存率与匹配的澳大利亚人群的生存率进行比较，结果表明，接受包虫病手术治疗的患者预期寿命正常。没有证据表明肝外疾病患者的病情比仅限于肝脏疾病的患者更差。有记录显示，8例患者术后出现包虫病复发，只有1例患者实际死于包虫病。这是一例在初次手术时发生囊肿破裂的病例。本文旨在提醒大家，包虫病仍有相当高的发病率，给外科医生带来治疗难题。虽然只有通过实施公共卫生措施才能完全根除寄生虫，但只要注意避免囊肿破裂，手术似乎仍是治疗已确诊包虫病的有效方法。
