Asigulireyimu,Li Wanfu,Ma Zhu,et al.Analysis of clinical characteristics and treatment 152 cases of pediatric patients with hepatic cystic echinococcosis[J].Journal of Clinical Pediatric Surgery,,18():310-314.[doi:10.3969/j.issn.1671-6353.2019.04.012]
Analysis of clinical characteristics and treatment 152 cases of pediatric patients with hepatic cystic echinococcosis
- Keywords:
- Echinococcosis; Hepatic/DI; Echinococcosis; Hepatic/SU; Child
- CLC:
- R729;R532.32
- Abstract:
- Objective To explore the clinical characteristics,diagnosis and treatment of hepatic cystic echinococosis in children.Methods The clinical data of 152 pediatric patients with hepatic cystic echinococcosis were analyzed.Their clinical characteristics,manifestations,types,diagnosis and treatment were retrospectively reviewed.Results All patients included intrahepatic multiple cystic echinococcosis (n=52),hydatid disease involving other organs (n=26) and recurrent echinococcosis (n=4).Most sites were located in right half liver and there were right epigastric pain,abdominal distention and detection during physical examination.Among them,149 patients were operated and 3 patients received medications.The follow-up period was 1-2 years.All operated patients were cured without recurrence.Among 19 cases of postoperative residual cavity effusion,5 cases were complicated with infection,and then treated with drugs.Among those medicated ones,2 were re-operated after 6 months and 1 received continued drug therapy.Conclusion Hydatid cyst in children has the unique characteristics of fast growth,easy occurrence of multiple haydatid cyst,multiple organ echinococcosis and easy rupture.Surgical treatment is primary while drug therapy remains secondary.According to the different growth periods of echinococcosis,the first choice of surgical methods is different.Removal of internal capsule plus subtotal resection of external capsule is the best choice for exogenous hepatic cystic echinococcosis while simple internal capsule extirpation is indicated for endogenetic hepatic cystic echinococcosis.
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Memo
收稿日期:2018-01-11。
基金项目:新疆维吾尔自治区自然科学基金（编号：2017D01C321）
通讯作者:李万富,Email:liwanfu71@163.com