گزارش ۵۰ مورد جراحی کیست هیداتید ریه در اطفال زیر ۱۲ سال

ABSTRACT Hydatid cyst is a parasitic disease with high incidence in Iran and can contaminate every organ of body.Liver is involved in 80% of contaminations. Clinical manifestations, diagnostic methods and treatment options are known clearly in adults, but age of frequency,ways of manifestations and treatment methods have not been examined in children properly.Thus, to clear the above mentioned points,50 cases of patients with hydatid cyst disease operated in university hospitals have been studied retrospectively. Ages of patients were between 3-12 years.62% of them were males and 38% females.8% of them were accidentally discovered and 92% had referred with symptoms of cough,sputum, dyspnea,andhemoptysis.Hemoptysis was seen in 30% of Cases,and 8% of them had intact hydatid cyst. Diagnostic method in 80% was Chest X-ray,and biochemical tests were not helpful. Unlike adults,92% of children with hydatid cyst had referred with complications of cysts. Posterolateral thoracotomy was carried out.In 2% of cases,cysts were evacuated and bronchial opening sutured. In the rest of cases,intra cystectomy or lobectomy were done.For obliteration of the cavity,capitonnage was not performed and no problem occured. In 8%,wound infection was observed and no mortality was seen.Our survey indicated that the majority of hydatid cysts in children are associated with complications and involvement in all age groups. Operations are similar to adults and children tolerated them better.