小儿肝包虫病的治疗

目的 提高对小儿肝包虫病的诊治认识,减少并发症及降低复发率.方法 回顾四川大学华西医院1997～2007年间收治的16例1～18岁(平均年龄13.1岁)肝包虫病患儿,对其流行病史、临床表现、囊肿特点、辅助检查及治疗方法 进行分析.结果 93.7%的患儿有犬、羊等家畜接触史,主要临床表现为腹部隐痛不适(62.5%)和腹部包块(31.3%),单个囊13例(81.2%),多囊3例(18.8%).肝包虫病位于肝右叶10例(62.5%),左叶4例(25%),两叶均有者2例(12.5%).81%患儿经辅助检杳(超声、CT及实验室检查等)得到明确诊断,本组患儿均经手术和口服阿苯达唑方法 治愈,随访至今,无复发病例.结论 结合小儿肝包虫病的l临床特点,重视疫区小儿体检筛查,运用超声、CF及实验室检查等,明确术前诊断,手术仍是治疗肝包虫的最有效方法 之一,应根据病情找准时机采用适当的手术方式.

Treatment of hepatic hydatid cyst in children

Objective To review our experiences of treating children with hepatic hydatid cysts (echinoceosis). Methods The data of 16 patients with hepatic hydatid cysts treated in the West China Hospital of Sichuan University from 1997 to 2007 were reviewed and analyzed. The data collected in-cluded epidemic history, clinical manifestations, type and site of cysts, imaging examination and labora-tory results,and therapeutic procedures employed. Results There were 11 boys and 5 girls, The age ranged from 1 to 18 years (mean=13.1 years). Fifteen cases (93.7%) had a history of contact with dogs or sheep. The manifestations of hydatid cysts included abdominal pain (62.5%) and abdominal mass (31.3%). Ten cysts were located in the right lobe of liver (62.5%),4 in the left lobe of liver (25%) ,and 2 in both lobes of liver (12.5%). Single hepatic cysts were found in 13 out of 16 patients (81%) and multiple hepatic cysts were seen in 3 patients (19%). Thirteen patients were diagnosed preoperatively by uhrasonography, CT and laboratory examination (> 81%). All patients underwent surgery and received oral albendazol. There was no recurrence. Conclusions Surgery and albendazole medication are still the main treatment of hydatid cysts.