关键词: Chirurgie Complications Computed tomography Hydatidose pulmonaire Pulmonary hydatid Radiographie thoracique Surgery Thoracic radiography Tomodensitométrie

Mesh : Adolescent Adult Aged Aged, 80 and over Child Child, Preschool Echinococcosis, Pulmonary / diagnostic imaging surgery Female Humans Lung / diagnostic imaging parasitology Male Middle Aged Postoperative Complications / epidemiology etiology Pulmonary Surgical Procedures / adverse effects methods Retrospective Studies Thoracic Surgery, Video-Assisted / adverse effects methods Thoracotomy / adverse effects methods Tomography, X-Ray Computed / methods Treatment Outcome Tunisia Young Adult

来  源:   DOI:10.1016/j.pneumo.2017.10.002   PDF(Sci-hub)

Abstract:
Pulmonary Hydatid Cyst (PHC) may represent a real therapeutic challenge. Surgery remains the treatment of choice and postoperative course may be complicated in some cases. Several factors can be involved like the cyst\'s size and location. We aimed to study the existence of correlation between the radiological aspect of the PHC and the postoperative course through a retrospective study including 267 patients. Different radiological aspect of PHC found on the X-ray and/or computed tomography of the chest were classified according to Zidi et al.
METHODS: Analytical study showed that there is minor chance to have complications with simple cyst (P<0.05 and OR<1), while type VI cyst were more likely to cause complications (P=0.007 and OR=2.6). Considering these results, more attention should be paid to type VI of PHC to prevent postoperative complications. A multicentric study will be more precise to study correlation between different characteristics of the PHC and postoperative course.
摘要:
肺包虫囊肿(PHC)可能代表真正的治疗挑战。手术仍然是选择的治疗方法,在某些情况下,术后过程可能很复杂。可能涉及几个因素,如囊肿的大小和位置。我们旨在通过一项包括267例患者的回顾性研究,研究PHC的放射学方面与术后病程之间是否存在相关性。根据Zidi等人对在胸部X射线和/或计算机断层扫描上发现的PHC的不同放射学方面进行分类。
方法:分析研究表明,单纯性囊肿并发症的可能性很小(P<0.05和OR<1),而VI型囊肿更容易引起并发症(P=0.007和OR=2.6)。考虑到这些结果,应注意PHC的VI型,以预防术后并发症。多中心研究将更精确地研究PHC的不同特征与术后病程之间的相关性。
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