Azamat·Azat,Zhang Guoming,Amantuer·Jieenshen,et al.Clinical symptoms and postoperative complications in ruptured and complete hydatid groups:a comparative study[J].Journal of Clinical Pediatric Surgery,,22():465-470.[doi:10.3760/cma.j.cn101785-202202001-012]
Clinical symptoms and postoperative complications in ruptured and complete hydatid groups:a comparative study
- Keywords:
- Echinococcosis; Pulmonary; Rupture; Postoperative Complications; Surgical Procedures; Operative; Child
- Abstract:
- Objective To explore the differences in general profiles,clinical symptoms and postoperative complications between children with complete pulmonary hydatid and those with pulmonary hydatid rupture.Methods From January 1,2016 to December 31,2021,retrospective review was performed for clinical data of operated children with pulmonary hydatid disease.They were assigned into two groups of pulmonary hydatid rupture and complete pulmonary hydatid by whether pulmonary hydatid rupture occurred at the time of presentation.General profiles,clinical symptoms,lobular locations of pulmonary hydatid and postoperative complications of two groups were compared.Results No significant inter-group differences existed in age[(7.23±2.85) vs.(6.38±3.22) years],gender (male/female:16/10 vs.24/13),ethnicity (Han/Uyghur/Kazakh/other:5/8/9/4 vs.6/20/5/6),number of hydatids[(2.76±1.01) vs.(3.15±1.57)],echinococcal worms in other parts (10/26 vs.21/37),postoperative complications (5/26 vs.9/37) or hydatid size[(6.50±2.37) vs.(7.86±4.32) cm](P>0.05).And significant inter-group difference existed in positive symptoms (25/26 vs.27/37)(P<0.05).The most common symptom were cough (23/26,88%),fever (18/26,69%) and sputum production (17/26,65%) in pulmonary hydatid rupture group; Symptoms were non-specific in complete pulmonary hydatid group.No significant inter-group differences existed in chest pain (13/26 vs.10/37),hemoptysis (4/26 vs.1/37) or pulmonary consolidation (3/26 vs.9/37)(P>0.05).Significant difference existed in the incidence of chest pain between ≥10 cm diameter and <10 cm diameter of pulmonary hydatid (P<0.05).The diameter of pulmonary hydatid was (9.33±5.23) cm for pulmonary consolidation and (6.87±3.18) cm for lung hydatid without consolidation and the difference was statistically significant (P<0.05).The infection rate of hydatid infection was higher in right lung than that in left lung.Size of pulmonary hydatid was not statistically significant among different lobes (P>0.05) and lobular rupture of pulmonary hydatid was not statistically significant (P>0.05).No significant inter-group difference existed in postoperative complications (P>0.05).Conclusion Most children of pulmonary hydatids have symptoms of cough,fever and sputum after rupture.And there are also pleural effusion,pneumothorax,purulent pleurisy and sepsis.These manifestations may aid in diagnosing pulmonary hydatid rupture.Postoperative complications are correlated with surgical approaches.Further studies are required for clarifications.
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收稿日期:2022-2-1。
通讯作者:伊地力斯·阿吾提,Email:15999180777@qq.com