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Titolo:
PERCUTANEOUS SONOGRAPHICALLY MONITORED PI NE NEEDLE PUNCTURE OF HYDATID LIVER CYSTS - RISKS AND BENEFITS
Autore:
KOHLHAUFL M;
Indirizzi:
UNIV KLIN FRANKFURT,AKAD LEHRKRANKENHAUS,STADT KLINIKEN DARMSTADT,MEDKLIN 2,GRAFENSTR 9 D-64283 DARMSTADT GERMANY
Titolo Testata:
Ultraschall in der Medizin
fascicolo: 5, volume: 16, anno: 1995,
pagine: 218 - 223
SICI:
0172-4614(1995)16:5<218:PSMPNN>2.0.ZU;2-H
Fonte:
ISI
Lingua:
GER
Soggetto:
DIFFERENTIAL-DIAGNOSIS; ECHINOCOCCAL CYSTS; DISEASE; ASPIRATION; ULTRASOUND; BIOPSY; DRAINAGE; FLUID; COMPLICATIONS; ALBENDAZOLE;
Keywords:
LIVER ECHINOCOCCOSIS; SONOGRAPHIC ON-TARGET INTERVENTION; PERCUTANEOUS DRAINAGE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
47
Recensione:
Indirizzi per estratti:
Citazione:
M. Kohlhaufl, "PERCUTANEOUS SONOGRAPHICALLY MONITORED PI NE NEEDLE PUNCTURE OF HYDATID LIVER CYSTS - RISKS AND BENEFITS", Ultraschall in der Medizin, 16(5), 1995, pp. 218-223

Abstract

Aim Percutaneous drainage (PD) has been used successfully in the percutaneous drainage of hepatic hydatid cysts in spite of discouragement by some authors from potential complications such as anaphylactic shock or seeding due to spillage. The aim of this meta-analysis was to evaluate the safety and efficacy of this new form of treatment and to develop a rational approach to the management of liver hydatosis by ultrasound guided PD. Method Relevant articles published in English, Frenchand German from 1983 to 1993 were identified through a computer search of data on the clinical manifestations, complications, anthelmintic treatment in combination with PD and on recurrence rate. Results 104 hydatid cysts treated by US-guided PD were published in literature. In 25 % of the cases diagnosis was unsuspected prior to PD. None of thesepatients developed serious complications. All symptomatic patients were relieved of symptoms. None of the patients needed surgery The complication rate was 14.4 % and mortality was zero. Anthelmintic drug treatment in combination with PD showed no reduction of side effects. No recurrences were reported during follow-up (3-31 month). Conclusion With proper patient monitoring US-guided PD can be recommended as a routine diagnostic and therapeutic tool in liver hydatosis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/05/20 alle ore 14:15:52