管理腰骶部包虫病的挑战和陷阱：临床实践中的经验教训。
Challenges and pitfalls in managing lumbosacral hydatid disease: Lessons learned from clinical practice.
机构信息
Department of Traumatology and Orthopedics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 841100, Xinjiang, China.
Department of Traumatology and Orthopedics, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 841100, Xinjiang, China.
出版信息
Diagn Microbiol Infect Dis. 2024 Dec;110(4):116542. doi: 10.1016/j.diagmicrobio.2024.116542. Epub 2024 Sep 21.
OBJECTIVE
Lumbosacral hydatid disease (LHD), a rare skeletal parasitic disease that involves the lumbosacral region. In this study, we summarized the diagnostic and therapeutic procedures for patients with LHD to provide insights into managing this rare disease.
METHODS
Between 2000 and 2023, 16 patients diagnosed with LHD were retrospectively analyzed. Each patient's medical records and follow-up details, were carefully assessed. The average follow-up period was 11.25 ± 6.41 years, providing valuable insights into treatment durability and effectiveness.
RESULTS
The diagnosis was confirmed via imaging, serological tests, and pathological examination. The clinical symptoms included lumbago with lower limb numbness (25 %) and urinary and fecal incontinence (25 %). All patients underwent surgery, with an average of 2.6 surgeries per patient. Thirteen (81.25 %) patients experienced recurrence postoperatively.
CONCLUSION
LHD is a severe and complex skeletal parasitic disease with significant diagnostic and therapeutic challenges. Effective management requires a comprehensive strategy involving surgery and additional therapies.
目的
腰骶部包虫病（LHD）是一种罕见的骨骼寄生虫病，涉及腰骶部。本研究总结了 LHD 患者的诊断和治疗程序，为管理这种罕见疾病提供了一些见解。
方法
回顾性分析了 2000 年至 2023 年期间诊断为 LHD 的 16 名患者。仔细评估了每位患者的病历和随访细节。平均随访时间为 11.25±6.41 年，为治疗的耐久性和有效性提供了有价值的见解。
结果
通过影像学、血清学检查和病理学检查确诊。临床表现为腰痛伴下肢麻木（25%）和大小便失禁（25%）。所有患者均接受了手术治疗，平均每位患者接受了 2.6 次手术。术后 13 例（81.25%）患者复发。
结论
LHD 是一种严重而复杂的骨骼寄生虫病，具有重大的诊断和治疗挑战。有效的管理需要综合的策略，包括手术和其他治疗方法。
Zotero 插件