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。
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.
出处
《中国寄生虫学与寄生虫病杂志》
CSCD
北大核心
1994年第4期285-287,共3页
Chinese Journal of Parasitology and Parasitic Diseases
关键词
包虫病
经皮
穿刺术
吸刮
治疗
引流术
Hydatidosis
hydatid cyst.percutaneous puncture
drainage and curettage