摘要
目的探讨肝包虫病不同情况的最佳手术治疗方式、适应证及疗效。方法对我院2001年1月至2012年1月的137例肝包虫病患者的临床资料进行回顾性分析。结果肝囊性包虫病115例(83.94%),其中内囊摘除、残腔引流术38例(27.74%),内囊摘除、外囊缝合闭锁16例(11.68%),外囊次全切除术8例(5.84%),外囊完整剥除术21例(15.33%),肝切除术32例(23.36%)。肝泡型包虫病22例(16.06%),均行肝切除术。临床治愈136例(99.27%),死亡1例(0.73%)。术后残腔积液11例(8.03%),胆漏18例(13.14%),外囊钙化不闭合2例(1.46%)。116例随访0.5～9年,原位复发2例,其中死亡1例,其余患者均恢复良好。结论肝包虫病5种手术方式各有优缺点,应根据肝包虫病的不同情况选择最佳术式。
Objective To investigate the best way for various surgicM treatment manners of Iiver echinococcosis and their adaptations,efficacy. Methods We retrospectively analyzed the clinical data of 137 Iiver echinococcosis cases,from 1 2001 to 1. 2012. Results 115 cases were belong to Cystic echinococcosis group （83.94%）. among them,38 cases received internal capsule excision＋ residual cavity drainage（ 27.74% ）, 16 cases receiced internal capsule excision＋ closing of oter cysts by suture（ 11.68% ） ,8 cases re- ceived sub-total cystectomy （5.84%）, 21 cases received total oter cystectomy （ 15.33 % ）, 32 cases received partial hepatectomy （23. 36% ）. 22 cases were belong to alveolar ecbinococcosis group（ 16.06% ） ,all of them received partial bepatectomy. 136 cases achieved clinical cure（ 99.27% ）, 1 case was dead. Postoperation, 11 patients with residual cavity effusion （8.03%）, 18 cases with bile leakage （ 13.14% ） ,2 cases with oternal capsual calsification （ 1.46% ）, 116 cases were followed from 0.5 -9 years ,2 cases with recurrence in situ, one of was dead, and the others get right. Conclusions The five kinds of operation mode to treat hepatic echinococcosis have dif- ferent advantages and disadvantages. We should choose the best operation according to the different situation of hepatic echinococcosis.
出处
《实用医院临床杂志》
2013年第4期135-137,共3页
Practical Journal of Clinical Medicine
