Ozdemir I A, Kalaycioğlu E
Eur J Respir Dis. 1983 Apr;64(3):217-21.
Echinococcus cysts in the thoracic cavity were diagnosed and treated in 61 patients. Diagnosis was usually made by clinical and radiological manifestations of hydatid disease. Empyema, broncho-biliary, and biliary-pleural fistulae are complications of thoracic echinococcosis. Portal hypertension, systemic venous obstruction, paraplegia, arterial emboli due to endocardial cysts are complications of echinococcus cysts. In 40 patients with uncomplicated cysts, cystectomy-capitonnage was performed. Lobectomy or segmental resection was undertaken for complicated cysts and destroyed lung parenchyma, in ten patients. Extirpation of the cyst is preferred for extrapulmonary location, and median sternotomy is applied for bilateral multiple pulmonary hydatid cysts. In our series, the incidence of surgical complications was low and there was no surgical mortality. Recurrence or pleural implantation of pulmonary echinococcus cyst have not been found during an average nine-months follow up.
61例胸腔棘球蚴囊肿患者得到诊断和治疗。诊断通常依据包虫病的临床和影像学表现做出。脓胸、支气管胆管瘘和胆胸膜瘘是胸段棘球蚴病的并发症。门静脉高压、体静脉梗阻、截瘫、心内膜囊肿导致的动脉栓塞是棘球蚴囊肿的并发症。40例单纯囊肿患者接受了囊肿切除术加内翻缝合术。10例复杂囊肿和肺实质破坏患者接受了肺叶切除术或肺段切除术。对于肺外部位的囊肿，首选囊肿摘除术，双侧多发性肺包虫囊肿采用正中胸骨切开术。在我们的系列研究中，手术并发症发生率较低，且无手术死亡病例。在平均9个月的随访期间，未发现肺棘球蚴囊肿复发或胸膜种植。
