Abstract:Objective
To investigate the effectiveness of drug therapy and percutaneous puncture insertion of widebore tube for suction and curettage in the treatment of echinococsosis.
Methods Oral Fu Fang Xiao Bao tablet or Albendazole,25mg/kg per day, for 3 months was followed by percutaneous puncture insertion of widebore tube for suction and curettage of liquefied necrotic and fragmented scoleces of hydatid cyst and daughter cysts.
Results Of 1561 cases treated by this method,complete follow up data was obtained for 1482 patients. Postoperative complications occurred only in 6 patients(0.004%), and all fully recovered after treatment.There was no operative mortality. At follow up of over one and a half years, the hydatid cysts disappeared in 1262 cases(85.2%),and the cysts decreased in size by 95% or more,and showed eggshell calcification in 220 cases(14.8%),so the cure rate was 100%.Two cases had ectopic recurrence,a recurrence rate of 0.001%.
Conclusions The combined use of antiechinococcal drugs and puncture insertion of widebore tube for suction and curettage to treat echinococcosis is a safe and minimally invasive methed,with few complications,quick recovery,low recurrence rate and high cure rate.