经皮粗管穿刺术治疗包虫病:附1 561例报告  

Percutaneous puncture insertion of wide-bore tube in the treatment of echinococcosis:a report of 1 561 cases

作　　者：焦郭堂[1] 王校智[2] 高宏[1] 潘琦[1] 何碧[1] 夏力[1] 余理[1] 

机构地区：[1]武警新疆总队医院包虫科,新疆乌鲁木齐830091 [2]解放军第四医院包虫病研究所,青海西宁810014

出　　处：《中国普通外科杂志》2005年第2期128-130,共3页China Journal of General Surgery

摘　　要：　　目的　探讨采用药物及粗管穿刺吸刮术治疗包虫病的效果。方法　口服复方消包片或阿苯达唑 [ 2 5mg/(kg·d) ] 3个月,然后,采用粗管经皮穿刺吸刮包虫囊肿内容物坏死原头蚴破碎溶解内囊及子囊。结果　全组获得随访且资料完整的 1 4 8 2例中术后发生并发症 6例 ( 0. 0 0 4% ),均经治疗后痊愈。无手术死亡, 1 4 8 2例均经 1. 5年以上随访,包囊消失者 1 2 6 2例 ( 8 5. 2% ),包囊缩小9 5%以上呈蛋壳样钙化的 2 2 0例 ( 1 4. 8% ),治愈率为 1 0 0%。 2例异位复发,复发率为 0. 0 0 1%。结论　联合应用抗包虫病药及粗管穿刺吸刮术治疗包虫病,方法简便,创伤小,并发症少,恢复快,复发率低,治愈率高。Objective To investigate the effectiveness of drug therapy and percutaneous puncture insertion of wide bore tube for suction and curettage in the treatment of echinococsosis. Methods Oral Fu Fang Xiao Bao tablet or Albendazole,25mg/kg per day, for 3 months was followed by percutaneous puncture insertion of wide bore tube for suction and curettage of liquefied necrotic and fragmented scoleces of hydatid cyst and daughter cysts. Results Of 1 561 cases treated by this method,complete follow up data was obtained for 1482 patients. Postoperative complications occurred only in 6 patients(0.004%), and all fully recovered after treatment.There was no operative mortality. At follow up of over one and a half years, the hydatid cysts disappeared in 1262 cases(85.2%),and the cysts decreased in size by 95% or more,and showed egg shell calcification in 220 cases(14.8%),so the cure rate was 100%.Two cases had ectopic recurrence ,a recurrence rate of 0.001%.Conclusions The combined use of anti echinococcal drugs and puncture insertion of wide bore tube for suction and curettage to treat echinococcosis is a safe and minimally invasive methed,with few complications,quick recovery,low recurrence rate and high cure rate.

关 键 词：包虫病/治疗 穿刺术 

分 类 号：R382.3[医药卫生—医学寄生虫学] R445.8[医药卫生—基础医学]