肝腹腔棘球蚴囊肿经皮穿刺引流与吸刮治疗(附1106例报告)  

Treatment of Hepatic and Abdominal Hydatidosis with Percutaneous Puncture Drainage and Curettage (Clinical Analysis of 1 106 Cases)

作　　者：王校智[1,2,3,4,5] 鱼昌民 冯胜利[1,2,3,4,5] 陈金生 李永寿 李淑芳[1,2,3,4,5] 唐群科 王俊 刘庭善[1,2,3,4,5] 顾再芦 荆强 满堂宝 王金铭 阿依都 

机构地区：[1]解放军第四医院 [2]解放军536医院 [3]新疆巴音州卫生防疫站 [4]新疆和静县医院外科 [5]新疆焉耆县医院外科

出　　处：《西北国防医学杂志》1999年第1期6-8,共3页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的：探讨应用经皮穿刺清理棘球蚴内囊子囊及囊内坏死组织，并对囊腔胆瘘进行处理。方法：采用我们自行设计的专用器械———扩张型多功能套管式穿刺针ＤＭＦＴ（ＤｉｌａｔａｂｌｅＭｕｌｔｙＦｕｎｃｔｉｏｎＴｒｏｃａｒ）对腹腔棘球蚴病应用经皮穿刺引流与刮吸治疗（ＰＰＤＣ，ＰｅｒｃｕｔａｎｅｏｕｓＰｕｎｃｔｕｒｅＤｒａｉｎａｇｅａｎｄＣｕｒｅｔａｇｅ）１１０６例（１２６２个囊肿），包括并发症型棘球蚴囊肿、单囊多房型及多子囊型棘球蚴囊肿。结果：治疗后６个月，Ｂ超显示囊肿缩小与不能辨认者为９５％（９２３／９７１）、１年时为９４％（７２５／７７３）、３年时囊肿完全消失、无法辨认、缩小与停止生长者总计达９３％（４１６／４４９）。穿刺成功率９８％，复发率及并发症发生率明显较手术治疗低。结论：采用ＰＰＤＣ法治疗肝腹腔棘球蚴囊肿可获得类同于手术治疗的满意疗效。适用于大多数囊型棘球蚴病患者。Purpose: To Probe how to clear echinococcus endocyst, daughter cysts and necrotic tissues in the cyst and to treat cystic biliary fistula with percutaneous puncture technique.Methods: Dilatancy multifunction trocar(DMFT), a special puncture needle designed by ourselves, was employed to treat 1 106 patients(1 262 cysts), suffered from hepatic and abdominal hydatidosis, including complicated, monocyst multilocular and multi daughter cyst hydatidocystis, by means of percutaneous puncture drainage and curettage(PPDC). Results: B ultrasound examination showed that six months later and one year later after treatment, the shrunken and unrecognized cysts occupied 95% (923/971) and 94% (725/773) respectively, and the total of completely disappeared, unrecognized, shrunken and inactively grown cysts was 93% (416/449) three years later. The successful rate of puncture was 98%. The recurrence rate and the incidence of complication after treatment were obviously lower than those after operations. Conclusion: The effect of PPDC to treat hepatic and abdominal hydatidosis is similar to that of operative treatment. This therapy is suitable for the most patients with hydatidosis, especially for the old and the weak who could not tolerate operative treatment. Combining with chemotherapeutic drugs, it might be a new therapy for multiplehepatic and abdominal hydatidosis.

关 键 词：棘球蚴病 经皮穿刺 引流吸刮 治疗 

分 类 号：R532.320.5[医药卫生—内科学]