Ozçelik C, Inci I, Toprak M, Eren N, Ozgen G, Yaşar T
Department of Thoracic and Cardiovascular Surgery, Dicle University, School of Medicine, Diyarbakir, Turkey.
J Pediatr Surg. 1994 Mar;29(3):392-5. doi: 10.1016/0022-3468(94)90575-4.
Ninety-two patients with a total of 112 pulmonary hydatid cysts underwent surgical treatment in our clinic between January 1980 and January 1992. Nine patients were found to have concomitant liver and pulmonary hydatid cysts. There were 65 boys and 27 girls; the age range was 5 to 14 years. The authors performed cystotomy and capitonnage in 78 patients, lobectomy in 9, segmentectomy in 3, and wedge resection in 2. Of 9 cases with concomitant liver and pulmonary hydatid cysts, 8 were approached by right thoracophrenotomy and 1 by median sternotomy and right phrenotomy. A one-stage operation via median sternotomy was performed in 3 patients who had bilateral pulmonary hydatid cysts. To prevent the development of secondary hydatid cysts because of spillage of hydatid fluid, the authors used 10% povidone-iodine poly (1-vinyl-2-pyrrolidone)-iodine complex intraoperatively as a scolicidal agent. There was no mortality or recurrence in the series.
1980年1月至1992年1月期间，我院对92例共112个肺包虫囊肿患者进行了手术治疗。发现9例患者同时患有肝和肺包虫囊肿。其中男孩65例，女孩27例；年龄范围为5至14岁。作者对78例患者进行了囊肿切开缝合术，9例行肺叶切除术，3例行肺段切除术，2例行楔形切除术。在9例同时患有肝和肺包虫囊肿的患者中，8例经右胸膈切开术处理，1例经正中胸骨切开术和右膈切开术处理。3例双侧肺包虫囊肿患者经正中胸骨切开术进行了一期手术。为防止因包虫液外溢而发生继发性包虫囊肿，作者术中使用10%聚维酮碘（聚乙烯吡咯烷酮碘复合物）作为杀头节剂。该系列病例无死亡或复发情况。
