胸腹器官合并包虫病患者的外科治疗实践
Practice of Surgical Treatment for Patients with Combined Echinococcosis of Chest and Abdominal Organs.
作者信息
Akimniyazova Bekdaulet, Kausova Galina, Yeshmuratov Temur, Toksanbayev Daniyar, Esetova Gulstan
机构信息
Kazakhstan's School of Public Health, Public Health Department, Almaty, Republic of Kazakhstan.
Kazakh National Medical University named after S.D. Asfendiyarova, Pulmonology Department, Almaty, Republic of Kazakhstan.
出版信息
Tanaffos. 2021 Feb;20(2):140-149.
BACKGROUND
Epidemiological significance of echinococcosis is determined by the severe clinical progression leading to disability, incapacitation and death, a wide range of hosts, and formation of synanthropic and mixed lesions. The aim of the work was to analyze cases of combined echinococcosis of the chest and abdominal organs and the results of its surgical treatment in clinics of Almaty (Kazakhstan) from 1997 to 2019.
MATERIALS AND METHODS
In 413 patients, 534 lesions of echinococcosis were revealed: single and multiple cysts. Concurrent echinococcectomy of 2-3 organs was performed in 261 patients; meanwhile phased echinococcectomy was performed in several organs in 152 patients.
RESULTS
Performed surgical interventions in more than 70% of cases had a favorable outcome.
CONCLUSION
The choice of rational surgical tactics for combined echinococcosis should be based on an individual approach, taking into account the general condition of the patient, risk analysis and the likelihood of complications.
背景
棘球蚴病的流行病学意义取决于其导致残疾、失能和死亡的严重临床进展、广泛的宿主范围以及共栖性和混合性病变的形成。本研究的目的是分析1997年至2019年哈萨克斯坦阿拉木图各诊所中胸腹部器官合并棘球蚴病的病例及其外科治疗结果。
材料与方法
413例患者中发现534处棘球蚴病病变：单发和多发囊肿。261例患者同时对2 - 3个器官进行了棘球蚴切除术；152例患者对多个器官进行了分期棘球蚴切除术。
结果
超过70%的病例手术干预取得了良好效果。
结论
对于合并棘球蚴病，合理手术策略的选择应基于个体化方法，考虑患者的一般状况、风险分析及并发症发生的可能性。
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