复发性肝包虫病经完整外囊摘除和内囊摘除术后复发率的比较  

Compare relapse rate of Subadventitial total exocystectomy and cystectomy for recrudescent hepatic hydatid disease

作　　者：李炳军[1] 张示杰[1] 孙红[1] 吕海龙[1] 刘远坤[1] 杨宏强[1] 陈辉[2] 彭心宇[1] 

机构地区：[1]石河子大学医学院第一附属医院肝胆外科,新疆石河子832008 [2]石河子大学医学院第一附属医院B超室,新疆石河子832008

出　　处：《农垦医学》2008年第3期171-173,共3页Journal of Nongken Medicine

基　　金：国家自然科学基金(30260108)

摘　　要：目的：通过随访观察来对比肝包虫外膜内外囊完整摘除术与常规内囊摘除术在治疗复发性肝包虫后的复发率，来评价其临床应用价值。方法：对我院8年间（1999年～2007年）再次入院的复发肝包虫病患者70例，将其分为两组：A组30例：保留外囊的传统术式组；B组40例：外膜内外囊完整摘除术（新术式）。对临床观察指标原位复发率进行统计分析。随访时间中位数为36月（3月～96月）。结果：外膜内完整外囊摘除术式组原位复发率低于传统术式（P〈0．05）。结论：外膜内完整外囊摘除术式能降低复发病例的再次手术复发率。Objective： The aims of this study were to compare relapse rate of a new radical surgical procedures in hepatic hydatid disease by long-term follow-up, to evaluate the value of clinical applicationa in these procedures. Methods： A follow-up analysis was made on 70 patients with recrudescent hepatic hydatid disease in a period of 8 years. Two groups procedures including traditional procedure （n = 30）and a new surgical procedure being named for＂Subadventitial total exocystectomy＂ （n = 40）were performed. The clinical data were analysed relatively. The median follow- up period was 39 months （range： 3 -96 months）. Re- suits：The relapse rate in the Subadventitial total exocystectomy was lower than its in cystectomy （P 〈 0. 05）; Conclusion： The results indicate that ＂Subadventitial total exocystectomy＂could decrease relapse rate and should be selected firstly.

关 键 词：肝包虫病 复发 肝包虫外膜内外囊完整摘除术 内囊摘除术 

分 类 号：R532.32[医药卫生—内科学]