肝包虫破入胆道21例诊治体会  

Experience in diagnosis and treatment of 21 hepatic hydatid cases with rupture into biliary system

作　　者：张军 崔刚 

机构地区：[1]新疆博乐农五师医院外二科,833400

出　　处：《腹部外科》2005年第6期354-355,共2页Journal of Abdominal Surgery

摘　　要：目的探讨肝包虫破入胆道系统的诊断和治疗方法.方法对我院1985年～2004年收治的肝包虫破入胆道21例的临床资料进行回顾性分析.结果本组病人肝功能恢复正常时间为7～25 d,平均12 d.肝包虫残腔引流管拔除时间为20～91 d,平均45 d.本组21例均痊愈.结论 手术治疗是肝包虫破入胆道的主要治疗方法.保持肝包虫残腔引流和胆总管T型管引流通畅对促使肝包虫残腔早日闭合十分重要.Objective To evaluate the diagnosis and treatment of hepatic hydatid patients with bile-duct fistula. Methods The clinical characteristics, diagnosis and methods of drainages after the operation in 21 cases of hydatid bile-duct fistula in our hospital from 1985 to 2004 were studied. Resuits Of all the cases, 20 cases underwent operation with hepatic hydatid residual cavity drainage and choledochal T-tube drainage. Only one case underwent choledochal T-tube drainage alone. All the patients recovered. Conclusion Surgery was the main method for the treatment of hepatic hydatid bileduct fistula. Hepatic hydatid residual cavity and choledochal T-tube free drainage were very important for the quicker cure of hepatic hydatid residual cavity.

关 键 词：棘球蚴病 肝 胆道 引流 

分 类 号：R532.32[医药卫生—内科学] R656[医药卫生—临床医学]