摘要
目的总结肝包虫病89例手术治疗的临床疗效及经验体会。方法回顾分析2007年1月至2014年1月收治的89例资料完整的肝包虫病手术治疗患者的临床资料。结果 89例患者中104个包虫性囊肿,囊壁钙化47例,其中有74个包虫性囊肿行肝包虫腔内注射95%乙醇内囊摘除术,14个包虫性囊肿行包虫外囊摘除术,16个包虫性囊肿行肝部分切除术,均临床治愈,术后随访1～7年,失访13例,复发2例,1例合并胆管细胞癌死亡。结论外科手术是肝包虫病的主要治疗方法,根据患者病情、肝包虫囊壁形态和周围解剖关系实施个体化手术方案;肝包虫内囊摘除术采用95%乙醇具有安全有效、复发率低、并发症少等优点。
Objective To summarize and discuss the curative effect and experience in different operation methods for hepatic echinococcosis in 89 Cases.Methods To analyze retrospectively the clinical data of cases of 89 patients with complete case history from Jan.2007 to Jan.2014 who were treated for hepatic echinococcosis.Results 104 hydatid hydatoncus were diagnosed from 89 patients.47 cases of capsule wall showed calcification,among whom 74 hydatid cyst got removed by hepatic hydatid inside-capsule enucleation with 95% ethyl alcohol.14 got removed by outside-capsule enucleation and 16 hydatid cyst got partial hepatectomy.All these patients underwent clinical cure and 1 ～ 7 year follow-up visit.13 can not be followed up,2 suffered from relapsing and 1 died of combination of cholangiocarcinoma.Conclusion Surgery is a main therapy for hepatic hydatid.It should be treated with personalized surgery according to patients＇ situation.Inside-capsule enucleation with 95%dehydrated alcohol for treating hepatic echinococcosis has advantage of being safe,effective,low-rate of relapsing and complication.
出处
《临床和实验医学杂志》
2015年第4期288-291,共4页
Journal of Clinical and Experimental Medicine
基金
内蒙古自治区卫生厅A类二等资助项目(编号:201302073)
关键词
肝包虫病
胆瘘
乙醇
内囊摘除
外囊摘除术
肝部分切除术
Hepatic echinococcosis
Bile leakage
Ethyl alcohol
Internal-capsule removal
Excision of external capsule
Partial hepa-tectomy
