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Abstract：
BACKGROUND: Our purpose is to report our experience in the management of pulmonary hydatid cysts ruptured in the pleura. Materiel and methods: We collected all records of patients with a ruptured hydatid cyst of the lung in the pleura who underwent surgery for this in the department of thoracic surgery of the CHU Hassan II of Fes during the 6-year period that started in 2010.
RESULTS: The study included 20 men and 14 women with an average age of 30.44 ± 18.4 years. Radiological findings showed a hydropneumothorax in 21 cases, hydrothorax in 10, pachypleuritis in 29, and a floating membrane in 13 cases. In all cases, pleuropulmonary decortication was associated with pericystectomy in 20 cases and parenchymal resection in 3 cases. A hydatid membrane bathing in the pleural cavity was found in 32 cases. The postoperative course was uneventful in 28 cases.
CONCLUSIONS: Long-term follow-up should be established to detect possible recurrences or pleural dissemination, which appear to be prevented by long-term use of anthelmintic agents.
RESULTS: The study included 20 men and 14 women with an average age of 30.44 ± 18.4 years. Radiological findings showed a hydropneumothorax in 21 cases, hydrothorax in 10, pachypleuritis in 29, and a floating membrane in 13 cases. In all cases, pleuropulmonary decortication was associated with pericystectomy in 20 cases and parenchymal resection in 3 cases. A hydatid membrane bathing in the pleural cavity was found in 32 cases. The postoperative course was uneventful in 28 cases.
CONCLUSIONS: Long-term follow-up should be established to detect possible recurrences or pleural dissemination, which appear to be prevented by long-term use of anthelmintic agents.
摘要：
背景：我们的目的是报告我们在处理胸膜破裂的肺包虫囊肿方面的经验。材料和方法：我们收集了胸膜中肺部包虫囊肿破裂的患者的所有记录，这些患者在2010年开始的6年期间在Fes的CHUHassanII胸外科进行了手术。
结果：该研究包括20名男性和14名女性，平均年龄为30.44±18.4岁。放射学检查显示21例液气胸，胸水10例，厚皮胸膜炎29例，浮膜13例。在所有情况下,胸膜肺剥脱术合并围手术20例，实质切除3例。32例发现胸膜内有包虫膜。28例术后进展顺利。
结论：应建立长期随访以检测可能的复发或胸膜播散，似乎可以通过长期使用驱虫药来预防。
结果：该研究包括20名男性和14名女性，平均年龄为30.44±18.4岁。放射学检查显示21例液气胸，胸水10例，厚皮胸膜炎29例，浮膜13例。在所有情况下,胸膜肺剥脱术合并围手术20例，实质切除3例。32例发现胸膜内有包虫膜。28例术后进展顺利。
结论：应建立长期随访以检测可能的复发或胸膜播散，似乎可以通过长期使用驱虫药来预防。
