2017-2019年阿瓦士医院包虫病患者的人口学、临床和放射学特征

S. Mirzavand, M. Beiromvand, A. Rafiei, A. Bahreini, Bahman. Cheraghiyan, A. Motamedfar, Alireza Abdolhadi Jahanshahi
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摘要

背景与目的包虫病是由细粒棘球绦虫幼虫期引起的世界性人畜共患疾病。本研究的目的是调查在阿瓦士医院接受手术的包虫病患者的人口学、临床和放射学特征。研究对象和方法本研究是基于患者档案记录的回顾性描述性横断面研究。数据分析采用SPSS软件、描述性统计和卡方检验。结果107例患者平均年龄36.78岁,男性占42.1%,女性占57.9%。31 ~ 40岁年龄组发病率最高,10岁以下发病率最低。52.3%生活在农村,47.7%生活在城市。70.1%的患者累及肝脏,14%的患者复发。59.8%的患者仅报告一个囊肿,40.2%的患者报告多个囊肿。囊肿大小为10 ~ 180mm,约50%的患者为CE2囊肿。所有患者的诊断方法均为影像学检查,最常用的诊断方法为引流法。结论胡齐斯坦省包虫病仍是重要的健康问题之一,需要开展以预防和控制寄生虫感染为基础的教育工作,特别是犬传寄生虫的预防和控制。观察到14%的复发率也提高了外科医生选择合适手术方法的重要性。
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Demographic, Clinical, and Radiological Characteristics of Patients With Hydatid Cyst Refereed to Ahvaz Hospitals During 2017-2019
Background and Objectives Hydatid cyst is a worldwide zoonotic disease caused by the larval stages of Echinococcus granulosus. The aim of this study was to investigate the demographic, clinical and radiological characteristics of hydatidosis patients undergoing surgery in hospitals in Ahvaz during Subjects and Methods This study is a retrospective descriptive cross-sectional study based on the information recorded in the patients' files. Data were analyzed using SPSS software, descriptive statistics and Chi-square test. Results Of the 107 patients with a mean age of 36.78 years, 42.1% were male and 57.9% were female. The highest frequency was related to the age group of 31-40 and the lowest was related to the patients under 10 years old. 52.3% lived in the rural areas and 47.7% lived in the urban areas. In 70.1% of the patients, liver was involved and recurrence was reported in 14%. In 59.8% of the patients, only one cyst was reported and in 40.2% more than one cyst was reported. The cysts size was 10 to 180 mm and about 50% of the patients had CE2 cysts. The diagnostic method of all patients was imaging techniques and drainage method was the most common method used. Conclusion This study showed that hydatid cyst in Khuzestan Province is still one of the important health problems that raise the need for educational programs based on the prevention and control of parasitic infections, especially parasites transmitted by dogs. Observation of 14% recurrence also raises the importance of choosing the appropriate surgical method by surgeons.
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