Akhan Okan, Yildiz Oguzhan, Unal Emre, Yildiz Adalet Elcin, Ciftci Turkmen Turan, Akinci Devrim
Am J Trop Med Hyg. 2022 Jul 25;107(3):632-5. doi: 10.4269/ajtmh.22-0066.
Cystic echinococcosis (CE) of the bone is a rare disease compared with CE of the viscera, and the most involved bony structures are the spine and the pelvis. Both the diagnosis and the treatment of bone CE are challenging for several reasons. The combination of surgery and antimicrobial therapy is the most common approach, the results are far from adequate. Luckily, percutaneous treatment has appeared on the horizon for bone lesions as a more practical option with fewer drawbacks in light of current reports. This article deals with the successful result of ablation-assisted percutaneous treatment of a bone CE lesion and a soft tissue CE lesion treated by modified catheterization technique in a male patient with left hip pain that was unresponsive to previous surgery for CE.
与内脏型囊型包虫病相比,骨囊型包虫病(CE)较为罕见,最常累及的骨骼结构是脊柱和骨盆。由于多种原因,骨CE的诊断和治疗都具有挑战性。手术与抗菌治疗相结合是最常用的方法,但效果远不尽人意。幸运的是,根据目前的报道,经皮治疗作为一种更实用的选择,已成为骨病变的一种选择,其缺点较少。本文报道了一名因左髋疼痛接受过CE手术但效果不佳的男性患者,采用消融辅助经皮治疗骨CE病变和经改良导管技术治疗软组织CE病变的成功案例。