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1996年1月至11月期间,我科依照WHO有关人体包虫病治疗指导纲要推荐的穿刺治疗包虫病方法(简称PAIR),在麻醉科医师监护下,由B超定位引导细针(内径0.6~1.3mm)穿刺治疗了22例肝囊型包虫病患者共计26个包虫囊。经过7~18个月的临床随访,结果:(1)包虫囊消失或小于1cm者占31%,囊包虫缩小65%以上者31%包虫囊缩少40%~50%者占38%;(2)其中5例患者置管外引流2周至3个月不等,拔管后情况良好。4例穿刺证实为包虫术后残腔。穿刺治疗前后所有患者均给予口服丙硫咪唑(albendazole),每日每公斤体重10~15mg。穿刺前用药3~5d,穿刺后酌情用药1~3个月,每3个月进行B超随访至少2年。初步结果表明:在严格掌握穿刺适应证条件下,PAIR可作为一种经济、有效、创伤小的治疗手段,尤其对有多次手术史的肝包虫病患者更具优越性。
In January 1996 to November, our department in accordance with the WHO guidelines for the treatment of human echinococcosis recommended treatment of hydatid disease method (referred to as PAIR), under the supervision of anesthesiologists, guided by the B- 0.6 ~ 1.3mm) puncture treatment of 22 cases of liver cyst echinococcosis patients a total of 26 hydatid. After 7 to 18 months of clinical follow-up, the results were as follows: (1) 31% of hydatid cysts disappeared or less than 1 cm, cysts of hydatid cysts reduced 65% or more, 31% of hydatid cysts reduced 40% to 50% %; (2) 5 cases of catheter drainage outside the catheter from 2 weeks to 3 months, after extubation in good condition. Four cases of puncture confirmed hydatid disease residual cavity. Before and after the puncture, all patients were given oral albendazole (albendazole), daily body weight per kilogram 10 ~ 15mg. Puncture before the drug 3 ~ 5d, puncture, as appropriate, medication for 1 to 3 months, B-3-month follow-up of at least 2 years. The preliminary results show that PAIR can be used as an economical, effective and less invasive treatment method under the strict control of puncture indications, especially for patients with hepatic hydatid disease who have had many surgeries.