Elburjo M, Gani E A
Department of Thoracic Surgery, Faculty of Medicine, Al-Arab Medical University, Benghazi, Libya.
Thorax. 1995 Apr;50(4):396-8. doi: 10.1136/thx.50.4.396.
Hydatid disease is common in Libya with a prevalence of 2%. Surgery of pulmonary hydatid disease remains the best treatment and aims to remove the cyst or its remnants and obliterate the residual cavity.
Forty three consecutive patients under 15 years of age were investigated by plain chest radiography, ultrasonography of the abdomen, and indirect haemagglutination tests. At thoracotomy the parasite or its remnants were removed and the bronchial fistula sutured.
All but four of the patients were discharged within 12 days. These four had had their large cavities obliterated by purse string sutures and developed air fluid levels with cavity reformation at the cyst site. They were treated conservatively by physiotherapy and antibiotics and remained in hospital for 2-3 weeks. There was only one recurrence after three years of follow up.
Pulmonary hydatid cysts in children can be treated successfully by evacuation and obliteration. The methods described can also be applied to adults.
包虫病在利比亚很常见，患病率为2%。肺包虫病的手术仍然是最佳治疗方法，旨在切除囊肿或其残余物并消除残留腔隙。
对43例15岁以下的连续患者进行了胸部X线平片、腹部超声检查和间接血凝试验。开胸手术时，切除寄生虫或其残余物并缝合支气管瘘。
除4例患者外，所有患者均在12天内出院。这4例患者的大腔隙通过荷包缝合消除，但在囊肿部位出现气液平面和腔隙重塑。他们接受了物理治疗和抗生素保守治疗，住院2 - 3周。随访三年仅1例复发。
儿童肺包虫囊肿可通过排空和消除成功治疗。所描述的方法也可应用于成人。
