PDF(Pubmed)
Abstract：
Hepatic hydatid cysts are an example of a zoonosis with global distribution, but with endemic characteristics in certain geographic areas. Known since ancient times, this parasitic infection predominantly affecting the liver and lungs remains a challenge today in terms of diagnosis and the pharmacological, radiological, endoscopic, or surgical therapy. This study analyzed the complications associated with different procedures for treating hydatid cysts in 76 patients admitted to the County Clinical Emergency Hospital of Sibiu. Complications occurred in 18 patients (23.7%), with no significant correlation to age, gender, or residency (urban or rural). Patients undergoing open surgery exhibited the highest complication rate (61.1%) compared to those treated with other procedures. The most frequent complication was biliary duct rupture, occurring in 22.7% of cases. Our findings indicate that the presence of complications significantly prolongs hospitalization time [t df (75) = 12.14, p < 0.001]. Based on these findings, we conclude that the surgical approach for hydatid cysts should be meticulously tailored to each patient\'s specific circumstances to reduce the risk of complications and improve clinical outcomes.
摘要：
肝包虫囊肿是全球分布的人畜共患病的一个例子，但在某些地理区域具有地方性特征。自古以来就知道，这种主要影响肝脏和肺的寄生虫感染在诊断和药理学方面仍然是今天的挑战，放射学,内窥镜,或者手术治疗.这项研究分析了锡比乌县临床急诊医院收治的76例患者与不同方法治疗包虫囊肿相关的并发症。并发症发生在18例（23.7%），与年龄没有显著相关性，性别,或居住地(城市或农村)。与接受其他手术治疗的患者相比，接受开放手术的患者并发症发生率最高（61.1％）。最常见的并发症是胆管破裂，发生在22.7%的病例中。我们的研究结果表明，并发症的存在显着延长住院时间[tdf（75）=12.14，p<0.001]。基于这些发现,我们得出的结论是，包虫囊肿的手术方法应根据每位患者的具体情况精心定制，以降低并发症的风险并改善临床结局。
