中国寄生虫学与寄生虫病杂志 ›› 1994, Vol. 12 ›› Issue (4): 285-287.

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经皮穿刺引流与吸刮治疗肝及腹腔包虫囊肿的临床应用

王校智,李永寿,冯胜利   

  1. 解放军第四医院
  • 收稿日期:2017-01-06 修回日期:2017-01-06 出版日期:1994-11-30 发布日期:2017-01-06

CLINICAL TREATMENT OF HEPATIC AND ABDOMINAL HYDATID CYST BY PERCUTANEOUS PUNCTURE, DRAINAGE AND CURETTAGE

  • Received:2017-01-06 Revised:2017-01-06 Online:1994-11-30 Published:2017-01-06

摘要: 长期以来,包虫病经皮穿刺无论作为治疗或其它目的被看作禁忌。1986年始我们用经皮穿刺引流,吸刮囊腔,结合局部和全身用药对302例(361个囊肿)患者进行了治疗,仅1例出现明显过敏反应。对218例进行了随访,最长者已达5年。穿刺后6月,B超显示囊肿缩小停止生长者97.2%(212/218)。1年后随访,B超显示84.4%(130/154)囊肿已消失。5年后随访18例,14例囊肿消失。除2例因脱管导致复发外,均恢复顺利。随访未见异位复发及其它严重并发症发生。

关键词: 包虫病, 经皮穿刺, 引流吸刮, 治疗

Abstract: Since 1986,we have treated 302 cases with hepatic and abdominal hydatid cyst(361cysts)by the method of percutaneous puncture,drainage and curettage combined with sys-temic drug and local drug administration with 5 years,follow-up.The rate of success ofpercutaneous puncture,aspiration,drainage and curettage was 99%.Only one case presentedallergic reaction.At 6 months after the PPDC,97.2%(212/218 )of the cysts had stoppedgrowth.One year later,84.4%(130/154)of the cysts had disappeared.Five years,follow-up revealed that 77.8%(14/18)of the cysts had disappeared.All of the above-mentioned caseshave recovered except for two cases suffered from recurrence of primary cysts resulting froma drop of the cannulas.No serious complications or death had been found.

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