摘要
为提高肝包虫病的诊治水平，对我院１９８７～１９９７年１０年间收治的４８例肝包虫病患者进行了回顾性研究，着重对该病的鉴别诊断和术式选择进行讨论，分析了误诊原因，评估了各种术式并提出改进手术的方法和技巧。结果：病史含糊，症状不明显，免疫学试验误差，影像学检查缺乏特征性表现或以合并症为首发症状是常见的误诊原因。术式选择须因病制宜，灵活掌握。“无瘤”操作，高渗盐水冲洗，网膜填塞和生物胶的应用等手术技巧的改进可提高手术疗效。结论：鉴别诊断的要点是对非典型病例的识别，合理选择术式、改进手术方法和技巧是提高本病疗效的关键。
This study is based on a retrospective review of 48 patients with echinococcosis of liver with emphasis on the differential diagnosis and the selection of surgery. Causes of misdiagnosis and the evaluation of a various operations on this disease were discussed. Results: The common misdiagnosis was due to obscure history and symptoms, errors on immunological tests, lack of specific manifestation on radiological examination and the foremost symptoms of complications. The operative ways must be chosen in accordance with each individual disease. The improvement of operative techniques such as tumorfree operation, irrigation with hypertonic saline solution, infilling with greater omentum, application of biojelly can increase the therapeutic effect of operation. Conclusion: The key point of differential diagnosis is to recognize the atypical cases. Rational selection of operations and improvement of operative techniques and methods are the crucial to increase the therapeutic effect of this disease.
出处
《中国普外基础与临床杂志》
CAS
1999年第4期216-217,共2页
Chinese Journal of Bases and Clinics In General Surgery
关键词
肝包虫病
鉴别诊断
术式
Echinococcosis of liverDifferential diagnosisSelection of operative ways
