摘要
目的此次回顾性分析研究旨在通过调查肝包虫住院病例,掌握近年来新疆生产建设兵团第九师医院肝包虫住院患者的基本特点。方法回顾性分析2011年1月-2015年12月住院的112例肝包虫病患者病历资料,详细记录患者的性别、年龄、民族、职业及区域等,并进行统计分析。结果 112例肝包虫患者中女性66例(58.9%),男性46例(41.1%)。发病年龄4~78岁,平均年龄(42.44±17.84)岁,其中41~50年龄段患者最多占27.67%。患者职业中以农牧民为主(56.25%)。各民族中汉族患者最多73例(65.18)),其次是哈萨克族32例(28.57%)。病变部位发生在右半肝者为主,有75例,占65.426.96%。肝脏腹痛,腹胀,恶心,呕吐为常见临床症状。9例患者发生肝功能损害(8.04%)。107例接受手术患者中1.86%内囊摘除术,60.37%行外囊剥除术,38.31%行内囊摘除+外囊次全切除术,均手术成功。结论肝囊性肝包虫病是该师肝包虫病重要的临床类型,病变主要发生在右肝,肝包虫所致的肝功能损害主要为轻度肝损害,未发现并发肝细胞癌的情况,肝包虫病治疗方式以外囊摘除及衍生手术方式为主,患者获得满意的治疗效果。
Objective This study aims to investigate the liver hydatid hospitalized cases,to master basic characteristics of hospitalized patients with hepatic hydatid. Methods Retrospective analysis between January 2011 and December 2011,medical records of 112 patients with hepatic echinococcosis,detailed record of the patient＇s gender,ages,nationality,occupation and the area and so on,and statistically analyzed. Results 112 patients with hepatic hydatid was 66 cases（58.9%）of women,men was 46 cases（41.1%）.Onset age 4 to 78,an average of 42.44 ±17.84 years old,41 ~ 50 ages of these patients were up to 27.67%. It＇s given priority to with farmers and herdsmen（56.25%）patients with your career. Most of all ethnic groups of the han nationality patients was 73 cases（65.18））,followed by the kazak 32 cases（28.57%）. Pathological changed occur in the right half liver is given priority to,with 75 cases,accounted for 65.426.96%. Liver,abdominal pain,abdominal distention,nausea,vomiting were common clinical symptoms. 9 cases of patients with liver function impairment（8.04%）. 1.86% of 107 patients who underwent surgery in patients with internal capsule,60.37% of external capsule stripping 38.31% inline sac excision plus ectocyst total resection,surgical success. Conclusion Liver cystic echinococcosis is a important clinical liver echinococcosis type of the originals,pathological changes mainly in the right liver,liver hydatid liver function damage is mainly caused by mild liver damage,no concurrent hepatocellular carcinoma are found,hepatic echinococcosis treatment outside the capsule is removed and the derivative operation method is given priority to,patients obtained satisfactory therapeutic effect.
出处
《新疆医学》
2017年第5期502-505,共4页
Xinjiang Medical Journal
关键词
肝包虫病
住院病例
临床特征
第九师
Liver Echinococcosis
Medical Records
Clinical Features
The First Division
