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腹部包虫病:采用CT和超声对甲苯达唑治疗进行随访

Abdominal hydatid disease: follow-up of mebendazole therapy by CT and ultrasonography.

作者信息

Rudwan M A, Mousa A M, Muhtaseb S A

出版信息

Int Surg. 1986 Jan-Mar;71(1):22-6.

PMID:3522467
Abstract

Computed tomography (CT) and Ultrasonography (US) were used for the diagnosis and follow-up of 10 cases of abdominal hydatid disease receiving treatment with Mebendazole because of a relative contraindication to surgery. With the exception of one case, the duration of follow-up varied from 20-36 months. There was an estimated 60% decrease in cyst size in one case, 10% decrease in another, unchanged in six (mostly calcified ones) and 60% increase in one case. CT density measurements of fluid content of the cysts increased in three cases accompanied by increased internal echoes on US in one case. The number and size of daughter cysts were reduced in one case and more calcification was noted in two cases. There was an overall slow and poor response to treatment and four cases eventually had surgery.

摘要

计算机断层扫描(CT)和超声检查(US)用于对10例因手术存在相对禁忌证而接受甲苯达唑治疗的腹部包虫病患者进行诊断和随访。除1例患者外,随访时间为20至36个月不等。1例患者囊肿大小估计减小了60%,另1例减小了10%,6例(大多为钙化囊肿)无变化,1例增大了60%。3例患者囊肿内液体的CT密度测量值增加,1例患者超声检查显示内部回声增强。1例患者子囊的数量和大小减少,2例患者钙化增多。总体而言,治疗反应缓慢且效果不佳,4例患者最终接受了手术。

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引用本文的文献

1
Factors influencing the response to chemotherapy in human cystic echinococcosis.影响人类囊性棘球蚴病化疗反应的因素。
Bull World Health Organ. 1992;70(3):347-58.