经胸手术治疗肝囊型包虫病34例报告  

Operative Management of Liver Hydatid Through Breast (Report of 34 Cases)

作　　者：陈伦牮[1] 王龙文[1] 孔长青[1] 外力[1] 徐明谦[1] 

机构地区：[1]新疆维吾尔自治区人民医院普外二科,乌鲁木齐830001

出　　处：《地方病通报》2006年第6期80-81,共2页Endemic Diseases Bulletin

摘　　要：目的肝囊型包虫病突入胸腔者，临床表现和治疗较特殊，本文就临床特点及手术治疗经验进行总结和探讨。方法对1990—2003年收治的经胸手术治疗肝囊型包虫病34例患者进行分析和总结。结果全部病例均经胸或胸腹联合切口手术，并行包虫残腔经腹引流，无死亡病例，均痊愈出院。术后29例随访3年，2例肝包虫复发，经腹肝包虫内囊摘除术随访1—2年无复发。结论术前胸部X线、CT、B超检查，以明确病灶诊断，进胸后先处理肺或膈肌病灶，再探查肝膈面，处理包虫内囊及残腔，置胸腹腔引流。经胸手术治疗肝囊型包虫病需经验丰富的医师参加，术中应仔细，术后应多观察病情变化，及时处理并发症，方可取得满意的治疗效果。Objective To discuss the clinical characteristics and treatments of liver hydatid broken into breast. Methods The clinical records of 34 cases with liver hydatid sustained operative management through breast from 1990 to 2003 were reviewed. Results All patients received operations through breast or breast combined abdomen. The rests of liver hydatid were drained through abdomen. There was no death case, and all patients were cured. Twenty - nine cases were followed for 3 years. There were 2 cases recurred in liver and received operations through abdomen and they didnt recur in the follow - up in 1 to 2 years. Conclusions This treatment must be operated by surgeon who has plenty of experiences. It would have gained satisfied resuits, if patients were taken care of and complications were treated in time after operation.

关 键 词：肝囊型包虫病 支气管瘘 手术 

分 类 号：R532.32[医药卫生—内科学]