摘要
目的探讨儿童肝囊型包虫病临床诊治及预后。方法回顾性分析2012年1月-2015年10月新疆医科大学第一附属医院手术治疗的≤14岁的79例儿童肝囊型包虫病患儿的临床资料,对其流行病史、临床表现、包虫囊肿类型、影像学检查、血清学检测及治疗方法进行总结分析。结果所有患者均行开腹手术,其中外囊次全切除术42例,外囊完整剥离术13例,行改良内囊摘除术24例。8例患者术后出现并发症,其中残腔合并胸腔积液5例,肺炎、肠梗阻各1例,均经治疗后愈,1例因多器官功能衰竭死亡。术后随访1~3年,未见复发病例。结论小儿肝囊型包虫病超声、CT及实验室检查等可明确术前诊断,内囊摘除＋外囊次全切除术为有效治疗肝囊型包虫病术式。
Objective To investigate the clinical treatment and prognosis for hepatic cystic echinococcosis（HCE）in children.Methods Retrospective analysis the clinic data of 79 cases of HCE patients who were under the 14years（including 14years）and accepted treatment in the First Affiliated Hospital of Xinjiang Medical University from January 2012 to October 2015.The data has been collected including epidemic history,clinical manifestations,HCE types,imaging,laboratory results,and therapeutic procedures.Results All the patients underwent open surgical procedure,among them 42 cases underwent subtotal cystectomy,13 cases underwent total cystectomy,24 cases underwent improved endocystectomy.The post-operative complications were observed in 8cases,5cases with residual and pleural cavity effusion,one case with pneumonia and another for intestinal obstruction,only one case died of multiple organ failure unfortunately.During 1to 3years follow up,no cases were found recrudescent.Conclusion Ultrasound,CT and laboratory tests can confirm the preoperative diagnosis of Pediatric HCE,endocystectomy combined with subtotal cystectomy is effective treatment for HCE.
出处
《新疆医科大学学报》
CAS
2016年第6期727-730,共4页
Journal of Xinjiang Medical University
基金
国家自然科学基金(U1303222)
关键词
儿童
囊型包虫病
肝/诊断
肝/治疗
children
cystic echinococcosis
hepatic/DI
hepatic/TH
