摘要
目的评价肝囊型包虫手术改进方式的临床应用效果。方法将包虫外囊次全切除组（65例）作为实验组，肝包虫内囊摘除组（71例）及包虫外囊完整剥除组（62例）作为对照组进行回顾性对比研究。结果包虫外囊次全切除组的体温恢复时间、术后住院时间、残腔形成、胆瘘、原位复发、每日引流量、引流管拔出时间、肝门阻断时间、破入胸腔、反应性胸腔积液、出血等均显著短或少于内囊摘除组及外囊完整剥除组（P〈0．01）。结论肝包虫外囊次全切除术是一种安全、方便、损伤小、并发症少的根治性术式，有利于在基层医院推广应用。
Objective To investigate the improvement in surgical procedures for hepatic cystic echinococcosis （HCE） and determine its clinical value. Methods The clinical data of 198 patients with HCE surgically treated in our institute from 2001 to 2007 were retrospectively analyzed. The patients were divided into 2 groups according to different surgical procedures. The 65 patients in the experimental group underwent subtotal cystectomy while the 71 and 62 patients in the control group received endoeysteetomy plus external drainage and total cystectomy, respectively. Postoperative indicators such as recovering time of fever, postoperative hospitalization duration and incidence of biliary fistula were compared between the 2 groups. Results The fever recovering time, postoperative hospitalization duration, formation of residual cavity, incidence of biliary fistula, local recurrence of CE, daily drainage volume from residual cavity, retaining time of drainage tube, blocking time of hepatic hilus, incidence of thoracic contamination from CE, incidence of pleural effusion and intraoperative blood transfusion were significantly lower in the experimental group than in the control （P〈0. 01）. Conclusion Subtotal cystectomy is a safe, simple and effective surgical procedure for HCE and worthy of being widely adopted.
出处
《中华肝胆外科杂志》
CAS
CSCD
2008年第2期90-91,共2页
Chinese Journal of Hepatobiliary Surgery
关键词
棘球蚴病
肝
肝囊型包虫病
外囊剥除术
临床应用
Echinococcosis, hepatie
Hepatic cystic echinococcosis
Total cystectomy
Clinical evaluation
