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我院从1960.1～1992.4手术治疗小儿包虫病127例,其中男79例,女48例,以临床标准、血清学检查、包虫皮试及影像学检查确定诊断;其中肝包虫84例,肺包虫32例;腹腔包虫2例、脾包虫4例、肝—胸包虫5例,单发性囊肿109例,多发性17例。囊肿同胆道交通者19例,感染6例,总的并发症率为20.47％。主要采用4种手术方式;1)内囊摘除、外囊一期缝合41例(Gropu Ⅰ)。2)内囊摘除外引流62例(Group Ⅱ),3)囊肿全切及4)肝、肺叶切除。6例死亡(4.7％),107例(84.25％)患儿获访,平均随访10.7年,7例肝包虫患儿复发(5.51％)。我们认为小儿包虫病应早期诊断和手术治疗,对于无并发症的包虫囊肿最好的治疗方法是内囊摘除。杀灭头节和外囊腔一期缝合,外引流用于有并发胆道交通或感染的病例,而甲苯咪唑仅适于囊液污染腹腔及不能手术治疗的患儿。
The hospital from 1960.1 to 1992.4 surgical treatment of 127 cases of pediatric echinococcosis, including 79 males and 48 females, with clinical criteria, serological tests, hydatid skin test and imaging studies to determine the diagnosis; liver hydatid 84 cases, 32 cases of pulmonary hydatid; 2 cases of hydatid cyst, 4 cases of splenic hydatid, 5 cases of liver-thymus, 109 cases of single cysts and 17 cases of multiple. Cyst with biliary traffic in 19 cases, 6 cases of infection, the total complication rate was 20.47%. Mainly using four kinds of surgical methods; 1) removal of the inner capsule, outer sac suture in 41 cases (Gropu Ⅰ). 2) External drainage of the internal capsule 62 cases (Group Ⅱ), 3) total cyst excision and 4) liver and lobectomy. Six patients died (4.7%) and 107 (84.25%) patients were followed up for an average of 10.7 years. Seven patients (5.51%) had hepatic hydatid disease. We believe that children with echinococcosis should be early diagnosis and surgical treatment, the best treatment for hydatid cyst without complications is the removal of internal capsule. Kill the first section of the outer and outer sutures suture, drainage for the external drainage of biliary tract traffic or infection cases, and mebendazole is only suitable for cyst fluid contamination of the abdominal cavity and can not be surgically treated children.