Apt W, Pérez C, de Rycke P
Departamento de Parasitologia, Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Rev Med Chil. 1996 Nov;124(11):1385-9.
Treatment of human hydatidosis is surgical. Lately, however, surgical indications have decreased, due to pharmacological therapy and ultrasound-guided percutaneous cyst puncture, aspiration of its contents, instillation of medications and respiration. As a general rule, surgical treatment is indicated in cysts larger than 10 cm phi and located in extra abdominal sites, such as thorax, brain or bone. The drug of choice is albendazole, in doses of 10 to 15 mg/kg/day for one month. Three cures with intervals of 15 to 30 days in between, are generally used. Thirty percent of cysts disappear, 30 to 50% experience degenerative changes and 30 to 40% do not change. Aspirative needle puncture is used, after four days of albendazole treatment, in those cysts that can be reached percutaneously.
人类包虫病的治疗方法是手术治疗。然而，近来由于药物治疗以及超声引导下经皮囊肿穿刺、抽取囊内容物、注入药物和呼吸等操作，手术指征有所减少。一般来说，对于直径大于10厘米且位于腹部外部位（如胸部、脑部或骨骼）的囊肿，需进行手术治疗。首选药物是阿苯达唑，剂量为每日10至15毫克/千克，疗程为一个月。通常采用三个疗程，中间间隔15至30天。30%的囊肿会消失，30%至50%会出现退行性变化，30%至40%则无变化。在阿苯达唑治疗四天后，对那些可经皮穿刺到达的囊肿进行抽吸针穿刺。
