论文部分内容阅读
长期以来，包虫病经皮穿刺无论作为治疗或其它目的被看作禁忌。１９８６年始我们用经皮穿刺引流，吸刮囊腔，结合局部和全身用药对３０２例（３６１个囊肿）患者进行了治疗，仅１例出现明显过敏反应。对２１８例进行了随访，最长者已达５年。穿刺后６月，Ｂ超显示囊肿缩小停止生长者９７．２％（２１２／２１８）。１年后随访，Ｂ超显示８４．４％（１３０／１５４）囊肿已消失。５年后随访１８例，１４例囊肿消失。除２例因脱管导致复发外，均恢复顺利。随访未见异位复发及其它严重并发症发生。
Pericardial hydatidosis has long been considered taboo, either for therapeutic or other purposes. In 1986, we used percutaneous puncture drainage, aspiration of the cyst cavity, combined with topical and systemic drug therapy in 302 patients (361 cysts), only 1 case of significant allergic reactions. 218 cases were followed up, the longest has reached 5 years. After puncture in June, B-ultrasound showed cyst shrinkage stopped growing 97.2% (212/218). Follow-up 1 year later, B-ultrasound showed 84.4% (130/154) cysts disappeared. 18 cases were followed up after 5 years and 14 cases disappeared. In addition to 2 cases of relapse due to detuning, the recovery was smooth. Follow-up ectopic recurrence and other serious complications have not occurred.