摘要目的 探讨儿童肺棘球蚴病的临床特征及外科治疗方法.方法 对1980年1月至2008年12月收治的93例儿童肺棘球蚴病患者的临床表现、诊治情况、手术方式、预后、复发情况进行回顾性分析.本组男性54例,女性39例,年龄2～14岁.其中82例有流行区居住史,占88.2%;79例有明确的犬、羊接触史,占84.9%.单纯性肺棘球蚴病68例,占73.1%;复杂性棘球蚴病25例,占26.9%.手术方法以内囊完整摘除术及内囊穿刺摘除术为主.结果 所有患儿接受手术治疗,1例死于麻醉意外,其余均痊愈或好转出院.术后并发肺部感染6例,切口感染3例,胆汁胸膜漏1例.术后随访1～10年,随访率为81.7%(76/93),5例复发,复发率5.4%(5/93).结论 儿童肺包虫临床症状不典型,易误诊、漏诊.内囊完整摘除术的术后并发症发生率及复发率优于其他术式.

abstractsObjective To approach the clinical characteristics and surgical treatment of children with pulmonary echinococcus. Methods Retrospective analysis of child patients with pulmonary echinococcus from January 1980 to December 2008 was carried out, associated with clinical manifestations,diagnosis and treatment, operation methods (complete removal of endocyst and cystectomy with needle aspiration), prognosis and recurrence. There were 93 patients (54 male and 39 female) aged from 2 to 14 years. There were 82 cases lived in the echinococcosis pulmonum endemic areas, accounting for 88.1% (82/93), and 79 cases of patients had obvious contact with dogs or sheep, accounting for 84.9%(79/93).There were 68 cases with simple pulmonary echinococcus accounted for 73. 1% (68/93), 25 cases suffered from complexity pulmonary hydatid, accounting for 26.9% (25/93). Results All patients were cured or improved after surgery except one dead. Six cases got postoperative pulmonary infection, 3 cases had wound infection, 1 case suffered from bile-pleura fistula. There were 76 patients (81.7%) followed up for 1 to 10 years after surgery. Five cases had recurrence, the recurrence rate was 5.4% (5/93). Conclusions The clinical symptoms of pulmonary echinococcus in children is not typical, misdiagnosis and missed diagnosis take place easily. Complete removal of endocyst has low postoperative complications and lower relapse rate.