摘要 目的：探讨小儿脾包虫病的发病机理、临床表理、诊断和治疗。方法：采用回顾性研究分析1957～1996年的临床资料，小儿腹腔囊型包虫病手术总数575例，其中18例为小儿脾包虫病。包囊肿位于脾脏5例，脾脏及其他脏器13例。术前明确诊断3例，行腹腔包虫及阑尾炎手术时发现13例，B超检查12例，免疫血清测定11例。结果：18例行手术治疗，死亡1例，脾切除术1例，保留脾脏行包囊摘除术16例。随访5年，13例未见脾包虫复发。结论：脾包虫的发生是经动脉、播散种植、门静脉逆行感染三种途径。B超、CT、免疫血清测定是诊断的主要方法。行保留脾脏、内囊摘除术是治疗小儿脾包虫安全可靠的方法。

    Splenic HydatidCysts: a Report of 18 Children

Luan Meixiang, Zhang Xinfeng, Huang Pei,Dept. of General Surgery.

    Xinjiang Medical College, Urumqi 830000

Abstract Objective: To review the clinicalpresentation. diagnosis and treatment of splenic hydatid disease in children. Methods:From 1957 to 1996, 575 cases of abdominal hydatid cysts were admittted. Among them, 18were splenic hydatid cysts including 5 localized in spleen and 13 spread to extr asplenicorgan. Eight had definitive diagnosis preoperatively and 10 were confir med duringoperation. Twelve patients received ultrasound scanning and 11 had se rology tests.Results: The operation on 18 cases included splenectomy(1) and hyd atid cystectomy withspleen reservation(17). There was one operative mortality. Thirteen patients werefollowed-up for 5 years with no recurrence. Conclusion: Spleen reservation and cystectomyare safe and reliable methods of splenic hyda tid cysts in children.

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