治疗腰骶部包虫病的挑战和陷阱：从临床实践中汲取的经验教训

IF 2.1 4区医学 Q3 INFECTIOUS DISEASES

Diagnostic microbiology and infectious disease Pub Date : 2024-09-21 DOI:10.1016/j.diagmicrobio.2024.116542

Wubulikasimu Mijiti , Xin Wang , Qiyu Jia , Yansong Li, Ziyu Zhou, Tayier Reheman, Yelinaer Ayiheng, Shimin Dong, Zengru Xie

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引用次数: 0

摘要

目的腰骶部包虫病（LHD）是一种罕见的骨骼寄生虫病，累及腰骶部。在这项研究中，我们总结了腰骶部包虫病患者的诊断和治疗程序，以便为治疗这种罕见疾病提供启示。方法回顾性分析了 2000 年至 2023 年期间确诊的 16 例腰骶部包虫病患者。仔细评估了每位患者的医疗记录和随访详情。平均随访时间为（11.25 ± 6.41）年，为了解治疗的持久性和有效性提供了宝贵的资料。临床症状包括腰痛伴下肢麻木（25%）和大小便失禁（25%）。所有患者都接受了手术治疗，平均每位患者接受了 2.6 次手术。结论LHD是一种严重而复杂的骨骼寄生虫病，在诊断和治疗方面存在巨大挑战。有效的治疗需要采取综合策略，包括手术和其他疗法。

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Challenges and pitfalls in managing lumbosacral hydatid disease: Lessons learned from clinical practice

Objective

Lumbosacral hydatid disease (LHD), a rare skeletal parasitic disease that involves the lumbosacral region. In this study, we summarized the diagnostic and therapeutic procedures for patients with LHD to provide insights into managing this rare disease.

Methods

Between 2000 and 2023, 16 patients diagnosed with LHD were retrospectively analyzed. Each patient's medical records and follow-up details, were carefully assessed. The average follow-up period was 11.25 ± 6.41 years, providing valuable insights into treatment durability and effectiveness.

Results

The diagnosis was confirmed via imaging, serological tests, and pathological examination. The clinical symptoms included lumbago with lower limb numbness (25 %) and urinary and fecal incontinence (25 %). All patients underwent surgery, with an average of 2.6 surgeries per patient. Thirteen (81.25 %) patients experienced recurrence postoperatively.

Conclusion

LHD is a severe and complex skeletal parasitic disease with significant diagnostic and therapeutic challenges. Effective management requires a comprehensive strategy involving surgery and additional therapies.

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来源期刊

Diagnostic microbiology and infectious disease 医学-传染病学

CiteScore

5.30

自引率

3.40%

发文量

149

审稿时长

56 days

期刊介绍： Diagnostic Microbiology and Infectious Disease keeps you informed of the latest developments in clinical microbiology and the diagnosis and treatment of infectious diseases. Packed with rigorously peer-reviewed articles and studies in bacteriology, immunology, immunoserology, infectious diseases, mycology, parasitology, and virology, the journal examines new procedures, unusual cases, controversial issues, and important new literature. Diagnostic Microbiology and Infectious Disease distinguished independent editorial board, consisting of experts from many medical specialties, ensures you extensive and authoritative coverage.