RESUMEN
The authors studied 271 (14.3%) patients with recurrent echinococcosis among 1,924 examined patients who had undergone operation. They claim that recurrences should not be divided into true and false. A careful study of recurrences after operation, their localization, provides evidence for regarding that 6.9% had primary-multiple, combined, and disseminated affections. Residual echinococcosis occurred in 6.1 per cent of the patients. Subsequent adequate operations cure the patients.
Asunto(s)
Equinococosis Hepática/cirugía , Equinococosis Pulmonar/cirugía , Hepatectomía/efectos adversos , Hígado/cirugía , Pulmón/cirugía , Neumonectomía/efectos adversos , Animales , Equinococosis Hepática/parasitología , Equinococosis Pulmonar/parasitología , Echinococcus/fisiología , Interacciones Huésped-Parásitos , Humanos , Hígado/parasitología , Pulmón/parasitología , Recurrencia , ReoperaciónRESUMEN
On the basis of a considerable material the authors make an evaluation of complex diagnostics of hydatid Echinococcosis of various localizations with the help of Casoni reactions, latex agglutination, double gel diffusion and indirect hemagglutination. The Casoni reaction is considered to be most reliable and simple among specific methods of diagnostics of Echinococcosis. It gave good results in mass prophylactic examinations of the population. The immunological methods of diagnostics of hydatid Echinococcosis are most reliable, the reaction of indirect hemagglutination having the greatest resolving power.
Asunto(s)
Equinococosis/diagnóstico , Pruebas de Hemaglutinación , Humanos , Inmunodifusión , Pruebas de Fijación de Látex , Tamizaje Masivo/métodos , Pruebas Serológicas/métodosRESUMEN
The incidence of echinococcus disease recurrences after the surgical treatment equals 16,1% including 2,2% of true recurrences and 13,9% of pseudorecurrences. The cause of pseudorecurrences is an associated and primary-multiple injuries of organs of the thoracic and abdominal cavities, dissemination due to spontaneous rupture of cysts or an improper technique of the operation. Since pseudorecurrences are more frequent, prophylaxis of recurrences of echinococcus is completely dependent on the quality of preoperative examinations, wide revision of organs of the thoracic and abdominal cavities and observation of the operation technique undertaken to prevent dissemination of the operation zone.