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胸腔内肺外包虫病:8 例手术患者的预后和结果。

Intra thoracic extra pulmonary hydatidosis: prognosis and outcomes of 8 operated patients.

机构信息

Department of Cardiothoracic Surgery, Mohammed VI University Hospital, Oujda, Morocco.

Laboratory of Anatomy, Microsurgery and Experimental Surgery and Medical Simulation, faculty of medecine and pharmacy, University Mohamed I, Oujda, Morocco.

出版信息

J Cardiothorac Surg. 2023 Jan 15;18(1):24. doi: 10.1186/s13019-023-02115-6.

Abstract

Hydatid cyst disease is a parasitic disease known from the times of hippocrates, and is still endemic in our country Morocco among others, affecting mainly the liver and lungs, while intra thoracic extra pulmonary location remains a rare entity of the disease. In our department of thoracic surgery, Mohamed VI University Hospital, Oujda, Morocco, we operated 92 patients for thoracic hydatid cyst in the period between January 2016 and December 2021, 8 patients of this group had exclusive extra pulmonary location of the hydatid cyst, epidemiological and clinical data were recorded for the 8 patients (5 men, 3 women). The mean age was 40.3 years, all patients presented mainly with chest pain, dyspnea and cough. The locations of the hydatid cysts were chest wall, pericardium, pleural space and diaphragm. The hydatid cysts were removed via extirpation technique through thoracotomy in all patients. The average duration of hospitalization was 7 days. Postoperative complications consisted of atelectasis in one patient, parietal hematoma in another, and surinfection with pleuro-cutaneous fistula and chronic neurological chest pain in one patient. No deaths were noted in our series.

摘要

包虫病是一种寄生虫病,可追溯到希波克拉底时代,在摩洛哥等国家仍呈地方性流行,主要影响肝脏和肺部,而胸内肺外部位仍然是该病罕见的实体。在摩洛哥乌季达的穆罕默德六世大学医院胸外科,我们在 2016 年 1 月至 2021 年 12 月期间为 92 例胸包虫囊肿患者进行了手术,其中 8 例患者的包虫囊肿仅位于肺外,记录了这 8 例患者(5 男 3 女)的流行病学和临床数据。平均年龄为 40.3 岁,所有患者主要表现为胸痛、呼吸困难和咳嗽。包虫囊肿位于胸壁、心包、胸膜腔和膈肌。所有患者均通过开胸切除术切除包虫囊肿。平均住院时间为 7 天。术后并发症包括 1 例肺不张,1 例壁血肿,1 例合并胸膜皮瘘和慢性神经胸疼感染。我们的系列中没有死亡病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8086/9841658/6bb1eb8ac6b0/13019_2023_2115_Fig1_HTML.jpg

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