骨盆包虫病患者32例的治疗及预后因素分析OA

Objective To analyze the clinical characteristics,treatment outcomes,and prognostic factors of pelvic hydatid disease,and to summarize the experience of diagnosis and treatment in the context of high recurrence rate.Methods A retrospective analysis of 32 patients with pelvic hydatid disease treated between January 2000 and December 2023 was conducted.Spearman correlation analysis was used to assess the relationship between surgery and recurrence frequency,and multivariate Logistic regression analysis was per-formed to identify independent predictors of cure.Results The mean age of the patients was 32.56±13.45 years.The main clinical manifestations were pain in the hip,lumbosacral region,or lower limbs,and two cases(6.3%)presented severe complications such as paraplegia and urinary/fecal incontinence.Thirty patients(93.75%)underwent surgical treatment,with a mean number of 3.09±1.85 surgeries per patient.The overall recurrence rate was 84.4%(27/32),while the cure rate was only 25.0%(8/32).Spearman correlation analysis revealed a strong positive correlation between the number of surgeries and recurrence frequency(r=0.828,P<0.001).Multi-variate Logistic regression analysis confirmed that age was an independent protective factor for cure(OR=1.129,95%CI:1.026-1.242,P=0.013).Conclusion Pelvic hydatid disease primarily presents with pain but may lead to severe neurological damage.It is charac-terized by a high recurrence rate and a low cure rate.Advanced age may be a positive factor for cure,while repeated surgeries are strongly associated with recurrence,underscoring the critical importance of thorough initial treatment.