Saygi A, Oztek I, Güder M, Süngün F, Arman B
Heybeliada Chest Disease and Thoracic Surgery Hospital, Istanbul, Turkey.
Eur Respir J. 1997 Apr;10(4):811-4.
Complicated pulmonary unilocular cystic hydatidosis (CPUCH) is a serious condition, which requires immediate treatment. The aim of the present study was to evaluate the efficacy of fibreoptic bronchoscopy (FOB) in the final diagnosis of CPUCH. Of 1,726 cases, who underwent FOB evaluation between 1990 and 1994 in our centre, 24 patients (17 females and 7 males), who had proven CPUCH after thoracotomy, were included in this study. Fourteen of the 24 cases were diagnosed in the preoperative period by cytological and histopathological evaluation of FOB material, whereas the remaining 10 cases with presumed CPUCH underwent thoracotomy for final diagnosis. Of the 14 cases diagnosed by FOB (11 females and 3 males); none had concomitant extrapulmonary hydatid disease. Whitish-yellow membranes were seen in 12 of the cases during FOB. Whilst cuticular particles, degenerated scoleces, and hooklets were seen in 14 cases in bronchial lavage, these elements were identified in brushing material in only seven. In 10 of the 14 cases, cytological diagnosis was confirmed by FOB biopsies before thoracotomy. It is concluded that whilst the clinical, radiological and laboratory findings are presumptive, fibreoptic bronchoscopic examination and the cytological and histopathological examination of material obtained during that procedure are conclusive for the diagnosis of complicated pulmonary unilocular cystic hydatidosis.
复杂性肺单房性包虫病（CPUCH）是一种严重疾病，需要立即治疗。本研究的目的是评估纤维支气管镜检查（FOB）在CPUCH最终诊断中的疗效。在1990年至1994年间于本中心接受FOB评估的1726例患者中，24例（17例女性和7例男性）在开胸手术后被证实患有CPUCH，被纳入本研究。24例中的14例在术前通过对FOB取材进行细胞学和组织病理学评估得以诊断，而其余10例疑似CPUCH患者则接受开胸手术以进行最终诊断。在通过FOB诊断的14例患者（11例女性和3例男性）中，无一例伴有肺外包虫病。FOB检查期间，12例患者可见灰白色膜状物。支气管灌洗中14例可见角质颗粒、退化的头节和小钩，但仅7例在刷检取材中发现这些成分。14例中的10例在开胸手术前通过FOB活检确诊。结论是，虽然临床、放射学和实验室检查结果具有推测性，但纤维支气管镜检查以及该检查过程中所取材料的细胞学和组织病理学检查对于复杂性肺单房性包虫病的诊断具有决定性意义。
