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1956年到1983年底,我院普外科收治脾包虫病28例,共住院32例次,占同期腹腔包虫住院患者的2.4％。28例中25例曾行手术治疗,其中:男11例,女14例;平均年龄为26.2岁;21例来自农牧区,22例有犬羊密切接触史;4例脾包虫为单发,其余21例均累及多个脏器;卡松尼试验100％为强阳性;超声波和X线检查欠准确,超声波检查正确率为54.5％,X线检查亦不如肝包虫有典型表现。根据临床资料,本文对脾包虫病的诊断、治疗和预后进行了讨论。
From 1956 to the end of 1983, 28 cases of splenic echinococcosis were admitted to our hospital for general surgery, 32 cases were hospitalized, accounting for 2.4% of hospitalized patients with abdominal hydatid. Among the 28 cases, 25 cases had been surgically treated, including 11 males and 14 females, with an average age of 26.2 years. Twenty-one of them were from farming and pastoral areas and 22 were closely contacted with dogs and sheep. , And the remaining 21 patients were involved in multiple organs; Carneney test was 100% strong positive; ultrasound and X-ray examination is not accurate, the correct rate of ultrasound was 54.5%, X-ray examination is not as good as hepatic hydatidiasis typical performance. According to clinical data, this article discusses the diagnosis, treatment and prognosis of splenic echinococcosis.