Goel M C, Agarwal M R, Misra A
Department of General Surgery, Swami Dayanand Hospital, Shahdara, Delhi, India.
Br J Urol. 1995 Jun;75(6):724-8. doi: 10.1111/j.1464-410x.1995.tb07379.x.
To evaluate a combination of percutaneous drainage and medical prophylaxis in the treatment of renal hydatid cyst to assist renal preservation, decrease morbidity and shorten the duration of hospital stay.
Four patients (three men and a woman, age range 26-31 years) with non-communicating renal hydatid cysts were selected for treatment using percutaneous drainage. This was performed under medical prophylaxis with albendazole and praziquentel. Ethanol (95%) was used as a scolicidal agent.
The method was successful in preserving three of four renal units but one unit was ablated because of secondary infection and haematuria. The kidneys of three patients were functioning adequately after a mean follow-up of 21.6 months from percutaneous drainage.
Percutaneous drainage of renal hydatid cysts is a safe and effective method for preventing renal loss, and decreasing morbidity and the duration of hospital stay. It should be employed as the first option for renal hydatid disease.
评估经皮引流与药物预防相结合的方法在肾包虫囊肿治疗中的效果，以协助保留肾脏、降低发病率并缩短住院时间。
选取4例（3例男性和1例女性，年龄范围26 - 31岁）非交通性肾包虫囊肿患者，采用经皮引流治疗。该操作在使用阿苯达唑和吡喹酮进行药物预防的情况下进行。使用95%乙醇作为杀头节剂。
该方法成功保留了4个肾单位中的3个，但有1个肾单位因继发感染和血尿而被切除。经皮引流后平均随访21.6个月，3例患者的肾脏功能良好。
经皮引流肾包虫囊肿是预防肾脏丧失、降低发病率和缩短住院时间的一种安全有效的方法。它应作为肾包虫病的首选治疗方法。
