经皮穿刺引流与吸刮治疗肝及腹腔包虫囊肿的临床应用

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。

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

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.