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首页> 外文期刊>European journal of gastroenterology and hepatology >Review of surgical management of cystic hydatid disease in a resource limited setting: Turkana, Kenya.
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Review of surgical management of cystic hydatid disease in a resource limited setting: Turkana, Kenya.

机译：在资源有限的情况下，对囊状包虫病的外科治疗的综述：肯尼亚图尔卡纳。

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OBJECTIVE: Cystic hydatid disease is a zoonotic infection of humans caused by infection with the larval stage of Echinococcus granulosus. The prevalence rate (5-10%) in Turkana, Northern Kenya is among the highest worldwide. With an increase in foreign travel and migration of peoples, practitioners need to be aware of diseases common in these countries and their rarer manifestations. The objective of this study was to review the management of this disease in a poorly resourced high-prevalence area. METHODS: The surgical records of Kakuma Mission Hospital, Turkana from July 1981 to May 2002 were reviewed. RESULTS: A total of 710 (female : male, 3 : 2) surgical procedures for hydatid disease were recorded, the average age being 27 years (range, 3-65 years). There were 663 patients, and therefore 47 patients had repeat procedures. A total of 52.8% (n = 375) had hepatic cysts (248 right sided, 30 left sided, 97 site undefined), and 10.1% (n = 72) had multiple abdominal cysts. Other intra-abdominal sites included 8.16% mesenteric (n = 58), 2.9% retroperitoneal (n = 21), 3.5% spleen (n = 25), the abdominal wall (n = 4). There was no information on the site of disease in 5.9% of cases (n = 42). More unusual sites were retro-orbital, gluteal, zygomatic, brachial, parotid, uterine, tibial and foot. The largest volume of cyst fluid was 7 l. There was one intraoperative death and one postoperative death recorded. Endocystectomy +/- a scolicidal was the commonest procedure performed. However, 165 percutaneous aspiration injection of a scolicidal agent and reaspiration procedures were performed, six being on pregnant women. This is one of the largest series of surgical hydatid patients from Africa and demonstrates the wide diversity in cyst location.
机译：目的：囊肿性包虫病是由细粒棘球E虫幼虫期感染引起的人畜共患感染。肯尼亚北部Turkana的患病率（5-10％）是全球最高的患病率之一。随着国外旅行和人民移民的增加，从业者需要意识到这些国家常见的疾病及其罕见的表现。这项研究的目的是回顾在资源贫乏的高流行地区对这种疾病的处理。方法：回顾了1981年7月至2002年5月在图尔卡纳的卡库玛教会医院的手术记录。结果：总共记录了710例（女：男，3：2）手术治疗hy虫病，平均年龄为27岁（范围3-65岁）。有663例患者，因此有47例患者重复了手术。共有52.8％（n = 375）患有肝囊肿（右侧248个，左侧30个，未定义部位97个），还有10.1％（n = 72）有多个腹部囊肿。其他腹腔内部位包括8.16％肠系膜（n = 58），2.9％腹膜后（n = 21），3.5％脾脏（n = 25），腹壁（n = 4）。在5.9％的病例中，没有关于疾病部位的信息（n = 42）。更多不寻常的部位是眼眶后，臀，骨，肱，腮腺，子宫，胫骨和足。囊液的最大体积为7 l。记录了1例术中死亡和1例术后死亡。进行内囊切除术+/-十字刀杀是最常见的手术。但是，进行了165次针刺杀虫剂的经皮穿刺抽吸和排尿程序，其中6例是孕妇。这是来自非洲的最大的外科手术性包虫患者系列之一，证明了囊肿位置的多样性。

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