目的:包虫囊肿可以发生在任何地方,如肝脏,肺,脾,脾肾,大脑,和软组织。肺包虫囊肿比肝包虫囊肿更容易破裂。在这项研究中,我们旨在呈现人口特征,临床症状,放射学发现,手术发现,进行的手术类型,肺包虫囊肿患者的术后并发症。
方法:对我院2011年1月至2021年10月收治的94例肺包虫囊肿患者的资料进行回顾性分析。将患者分为两组:破裂的肺包虫囊肿和未破裂的肺包虫囊肿。
结果:94例接受肺包虫囊肿手术的患者共检出120例肺包虫囊肿。63例(52.5%)患者发现囊肿破裂。直径<10cm的囊肿破裂率明显较高(p=0.005)。在破裂组中,发烧和咯血的投诉明显更高。6例患者术后平均2个月发现气胸,其中一名患者接受了电视辅助胸腔镜检查(VATS).
结论:在包虫病流行地区出现下呼吸道症状的儿童应注意肺包虫囊肿。保留薄壁组织的方法应该是治疗肺包虫囊肿的首选方法。发生术后早期并发症的患者也应密切关注晚期障碍。
OBJECTIVE: Hydatid cysts can occur in any place such as the liver, lung, spleen, kidney, brain, and soft tissue. Pulmonary hydatid cysts are more prone to rupture than liver hydatid cysts. In this study, we aimed to present the demographic characteristics, clinical symptoms, radiological findings, surgical findings, type of surgery performed, and postoperative complications of patients with pulmonary hydatid cysts.
METHODS: The files of 94 patients who were operated on for pulmonary hydatid cysts in our clinic between January 2011 and October 2021 were retrospectively analyzed. The patients were divided into two groups: ruptured pulmonary hydatid cysts and non-ruptured pulmonary hydatid cysts.
RESULTS: A total of 120 pulmonary hydatid cysts were detected in 94 patients who were operated on for pulmonary hydatid cysts. Cyst rupture was detected in 63 (52.5%) patients. Rupture was found significantly higher in cysts with a diameter of <10 cm (p=0.005). Complaints of fever and hemoptysis were found significantly higher in the ruptured group. Pneumothorax was detected in six patients after the operation with an average of two months, one of which was the patient who underwent video-assisted thoracoscopy (VATS).
CONCLUSIONS: Pulmonary hydatid cyst should be kept in mind in children presenting with lower respiratory tract symptoms in regions where echinococcosis is endemic. Parenchyma-sparing methods should be the first choice in the management of pulmonary hydatid cysts. Patients who develop early postoperative complications should also be followed closely for late impediments.