Benchekroun A, Lakrissa A, Essakalli N, Abakka T, Faik M, Hachimi M, Marzouk M
J Urol (Paris). 1986;92(3):171-6.
Symptomatology in thirty patients with hydatid cyst of kidney treated in the Urologic Clinic, UHC, Avicenne, Rabat, was florid (83% with pain and 43% with a mass in the flank) and sometimes specific (27% of cases). Associated hypertension was an exceptional finding. Preoperative diagnostic investigations included ultrasound and CT scan imaging, replacing arteriography to a great extent. Approach to surgical treatment was usually by a lombotomy (64%) or even a Baraya incision (23%), followed by treatment of the renal cyst itself (a case of silent kidney on IVU treated by resection of a protruding dome). Nephrectomy was frequently necessary (47%) for renal lesions. When conservative therapy appeared sufficient the only procedure adopted, apart from specific cases, was resection of a protruding dome even when the hydatid cyst was discharging into excretory pathways. Splenectomy was sometimes necessary (2 of 22 cases) for hydatid cyst of left kidney. This series emphasizes the safety of surgery for hydatid cyst of kidney since the only death reported occurred 2 months after operation in a patient with an associated renal sarcoma.
在拉巴特阿维森纳大学医院泌尿外科诊所接受治疗的30例肾包虫囊肿患者中，症状表现明显（83%有疼痛，43% flank部有肿块），有时具有特异性（27%的病例）。合并高血压是罕见发现。术前诊断检查包括超声和CT扫描成像，在很大程度上取代了动脉造影。手术治疗方法通常是腰部切开术（64%）甚至是巴拉亚切口（23%），随后处理肾囊肿本身（1例静脉尿路造影显示为静息肾的病例通过切除突出的囊肿顶进行治疗）。对于肾脏病变，肾切除术常常是必要的（47%）。当保守治疗似乎足够时，除特定病例外，即使包虫囊肿向排泄途径破溃，采用的唯一手术是切除突出的囊肿顶。对于左肾包虫囊肿，有时需要进行脾切除术（22例中有2例）。该系列强调了肾包虫囊肿手术的安全性，因为报告的唯一死亡病例发生在一名合并肾肉瘤的患者术后2个月。
