Mueller P R, Dawson S L, Ferrucci J T, Nardi G L
Radiology. 1985 Jun;155(3):627-8. doi: 10.1148/radiology.155.3.3890001.
Percutaneous needle aspiration of hydatid cysts has long been discouraged because of potential complications, such as anaphylactic shock and the spread of daughter cysts. We used this procedure with successful results, however, in the treatment of a woman with a recurrent hepatic hydatid cyst. The cyst was drained percutaneously using radiologic imaging guidance and then lavaged through a catheter using silver nitrate and hypertonic saline solutions. One year after drainage, all liver function test results remain normal. Although surgical drainage is normally the treatment of choice for hepatic Echinococcus disease, percutaneous catheter drainage may be an alternative therapy for patients who cannot undergo surgery.
长期以来，经皮穿刺抽吸包虫囊肿一直不被提倡，因为存在潜在并发症，如过敏性休克和子囊播散。然而，我们在治疗一名复发性肝包虫囊肿的女性患者时采用了这种方法并取得了成功。在放射影像学引导下经皮引流囊肿，然后通过导管用硝酸银和高渗盐溶液进行灌洗。引流一年后，所有肝功能检查结果均保持正常。虽然手术引流通常是肝包虫病的首选治疗方法，但经皮导管引流对于无法接受手术的患者可能是一种替代疗法。
