García Mérida M, Iglesia P, Esteban J A, Alba J
An Esp Pediatr. 1981 Mar;14(3):160-7.
Authors present three cases of peritoneal hydatidosis, two of which are due to spontaneous rupture of hepatic hydatid cysts and the other due to operative rupture of ovarian hydatid cyst. A dose of 1 g./day of mebendazole was administered for 11 months with 30 day break periods every three months. Mebendazole has proved effective in the treatment of secondary echinococcosis. In authors judgement this may be an effective treatment for peritoneal spreading if mebendazole is used at an early stage since they have verified the absence of dissemination in one of the cases and an inactive dissemination in other one. If treatment is applied later, regression is achieved too, but more slowly. Immunological and ecographical results are reported in detail as well as surgical and pathologic findings. A cautious interpretation of these preliminary results is advised since data on long-term results are lacking.
作者报告了3例腹膜包虫病病例,其中2例是由于肝包虫囊肿自发破裂所致,另1例是由于卵巢包虫囊肿手术破裂所致。给予甲苯达唑1克/天,持续11个月,每3个月休息30天。甲苯达唑已被证明对继发性棘球蚴病有效。作者认为,如果在早期使用甲苯达唑,这可能是治疗腹膜播散的有效方法,因为他们已证实其中1例无播散,另一例播散不活跃。如果后期进行治疗,也可实现病情缓解,但速度较慢。详细报告了免疫和超声检查结果以及手术和病理检查结果。由于缺乏长期结果的数据,建议对这些初步结果进行谨慎解读。