儿童肝囊型包虫病囊肿破入腹腔17例临床分析

Clinical Analysis of 17 Cases of Hepatic Cysticercosis Cysts Breaking into the Abdominal Cavity in Children

摘要: 目的：对儿童肝囊型包虫病囊肿破入腹腔临床资料进行分析，为临床诊治囊肿破入腹腔提供参考。方法：回顾分析2017年至2023年新疆医科大学第一附属医院小儿普外科诊治的17例肝包虫囊肿破入腹腔患儿的临床资料，对患儿临床表现、血液学检查及影像学检查结果、术中及术后表现等进行描述性分析。结果：17例患者中，男性8例，女性9例，中位年龄6岁。所有患儿术前均行腹部超声和CT检查。结论：在流行区，患者出现腹痛，尤其是伴有过敏反应征象时，应考虑到肝包虫囊肿破入腹腔。早期诊断和及时治疗是确保良好结局的必要条件。

Abstract: Objective: To analyze the clinical data of children with hepatic cysticercosis cyst rupture into the abdominal cavity, and to provide reference for clinical diagnosis and treatment of cyst rupture into the abdominal cavity. Methods: We retrospectively analyzed the clinical data of 17 children with hepatic encapsulated cysts ruptured into the abdominal cavity treated by the Department of Pae-diatric General Surgery of the First Affiliated Hospital of Xinjiang Medical University from 2017 to 2023, and descriptive analyses were performed on the children’s clinical manifestations, laboratory and imaging findings, and intraoperative and postoperative manifestations. Results: Of the 17 pa-tients, 8 were male and 9 were female, with a median age of 6 years. All children underwent pre-operative abdominal ultrasound and CT examination. Conclusion: In endemic areas, patients pre-senting with abdominal pain, especially with signs of anaphylactic reaction, should be considered to have a hepatic encapsulated cyst that has broken into the abdominal cavity. Early diagnosis and prompt treatment are necessary to ensure a favourable outcome.