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[包虫病外科治疗后复发性寄生虫感染的预防]

[Prevention of recurrent parasitic infections after surgical treatment of echinococcosis].

作者信息

Vafin A Z

出版信息

Khirurgiia (Mosk). 1993 Apr(4):70-4.

PMID:8084175
Abstract

The results of surgical treatment of 741 patients with hydatid disease of the lungs, liver, and other abdominal organs were studied. Recurrences were found in different periods after the operation in 147 (19.8%) patients: solitary cysts in 34, multiple cysts in 90, and a combined affection in 23 patients. The recurrent cysts were revealed in a previously operated on hepatic lobe in 69, in the other lobe in 42, and in the other abdominal organs in 37 patients in 29 of which the cysts were located on the serosa of the abdominal organs. The recurrences were caused by a nonradical character of the first operation and dissemination of the embryonic elements with their subsequent implantation growth. On the basis of this, the author draws a parallel between the recurrence of malignant new growths and echinococcosis (alveococcosis) and formulates the general principles of aparasitism and antiparasitism of surgical interventions and similar principles of ablastemics and antiblastemics in oncology.

摘要

对741例肺、肝及其他腹部器官包虫病患者的外科治疗结果进行了研究。147例(19.8%)患者在术后不同时期出现复发:孤立囊肿34例,多发囊肿90例,23例为合并感染。复发囊肿出现在先前手术的肝叶69例,另一叶42例,其他腹部器官37例,其中29例囊肿位于腹部器官浆膜上。复发是由于首次手术不彻底以及胚胎成分播散并随后植入生长所致。基于此,作者将恶性肿瘤复发与棘球蚴病(泡球蚴病)进行了类比,并阐述了外科手术中寄生虫与抗寄生虫的一般原则以及肿瘤学中抑增殖与抗增殖的类似原则。

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1
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